Carbuncle of the kidney: treatment and prevention
Carbuncle of the kidney is a purulent metastatic lesion of the organ in the form of an isolated focus in the kidney that contains a large number of small pustules surrounded by an inflammatory disease. By external signs resembles carbuncle of the skin.
Disease, being a kind of purulent pyelonephritis in acute form, is caused by penetration into the kidney of infection, after which an inflammatory process occurs in it. The primary infectious foci, from where the infection can be entered into the body, are inflammatory, purulent processes in the body.
Infection into the kidney occurs through the following pathways:
- On the ureter wall;
- By lymphatic vessels;
- Together with the bloodstream;
- On its clearance, if there is a reverse cast of urine.
It is not possible in every case to establish penetration into the kidney of an infection.
Causes and symptoms of kidney carbuncle
The disease can occur as a primary( due to a bacterial invasion of a purulent focus), and secondary. In a large blood vessel of the organ or in several small vessels that are located close to each other, a bacterial thrombus is formed.
More frequent causes of carbuncle origin are white and golden staphylococci, Proteus and Escherichia coli. The occurrence of carbuncle is also possible as a result of the following factors:
- Uterine and ovarian cancer;
- Bladder cancer;
- Urinary passage disorder in ureteral obstruction with calculus;
- Prostate adenoma;
- Urinary tract strictures.
The kidney carbuncle, the symptoms of which are similar to the common infectious disease, can be determined by the following indications:
- High body temperature;
- Severe chills;
- Increased sweating;
- General weakness;
- High pulse and respiratory rate;
Symptoms at the initial stage of the disease are not accompanied by local kidney pain. In addition, in the study of urine, bacteria and leukocytes is not found, disorders of urination are not observed. These factors, when diagnosed, are difficult for doctors. As a result, patients with kidney carbuncle are susceptible to hospitalization with an incorrectly diagnosed diagnosis, such as typhoid fever, pneumonia, influenza, etc.
Diagnosis of the kidney carbuncle
The most effective methods for diagnosing carbuncle kidneys are ultrasound, isotopic and X-ray studies. On a picture of urinary tracts it is possible to see figuratively an increase in the size of a segment of the affected kidney, its external contour and focal bulging. On the side of the lesion, one can see the disappearance of the contour of the lumbar muscle.
For diagnosis, the following tests are also required:
- General urine test;
- Urine analysis for microbial culture( antibiogram);
- General blood test;
- Biochemical blood test.
Treatment and prevention
Treatment of carbuncle kidney operative. The operation is performed to stop the progression of the purulent-inflammatory process in the diseased kidney and to prevent its occurrence in the healthy kidney. If there are pustules on the surface of the kidney, then larger ones are opened, and carbuncles are excised or dissected. With a timely operation, the postoperative period goes smoothly, the kidney functions are quickly restored, the body temperature decreases and comes gradually back to normal.
The goal of prevention is to eliminate infectious foci. With secondary pyelonephritis, it is important to start treatment of urological diseases in a timely manner, which can be complicated by an inflammatory process leading to disturbances in urinary outflow from the upper urinary tract.
Each patient who has transferred the disease must be periodically examined and kept under the supervision of a specialist.