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2010, Cilt 40, Sayı 2, Sayfa(lar) 075-078
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A Rare Case of Perinephritic Abscess Due to Group A Beta Haemolytic Streptococci
Metin Özsoy1, Selman Ünverdi2, Mevlüt Çeri2, İsmail Kırbaş3, Emine Uyar2, Murat Duranay2
1Ankara Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji, Kliniği, Ankara
2Ankara Eğitim ve Araştırma Hastanesi, Nefroloji Kliniği, Ankara
3Fatih Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı, Ankara
Keywords: Group A beta haemolytic streptococci, perinephritic abscess

Group A beta hemolytic streptoccocci may lead to various diseases such as acute tonsillo pharyngitis, cellulitis, scarlet fever and acute rheumatic fever. Perinephritic abscesses develop either as a result of ascending pyelonephritis or in the setting of bacteremia with hemotegenous spread. The most common causative agent of pyelonephritic abscess is Escherichia coli ascending to kidney tissue. The development of pyelonephritic absecess due to group A beta hemolytic streptococci are rarely seen. In this report, a case in whom pyogenic abscess developed due to group A beta hemolytic streptococci was presented. Abdominal ultrasonographic examination of a 53 years old male patient who referred with the complaint of left flank pain, revealed the presence of a perinephritic abscess. Abscess formation with air density extending up to crista iliaca along iliopsoas border was observed in perirenal area. Group A beta hemolytic streptoccoccus was isolated in the abscess drainage material. Amoxycillin clavulanic acid was initiated and continued for three weeks. Following antibiotherapy atrophic left kidney was removed. Different pathogens can lead to the development of perinephritic abscess, thus it is important to identify the causative agent and start appropriate therapy.

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