Fever was documented before diagnosis in 88% of patients. Abdominal mass (13%) or tenderness (49%), and flank mass (9%) or tenderness (42%) were seen less frequently, and 11% of patients did not have fever, flank, or abdominal findings. [ncbi.nlm.nih.gov]

Fever (55%), chills or diaphoresis (47%), flank pain (40%), abdominal pain (40%), and nausea or vomiting (32%) were the most common presenting symptoms. About half the patients had symptoms for 1 week or less and 12% had no symptoms. [ncbi.nlm.nih.gov]

Other risk factors for perirenal abscess include: Diabetes Having an abnormal urinary tract Trauma Symptoms Symptoms of perirenal abscess include: Chills Fever Pain in the flank (side of the abdomen) or abdomen, which may extend to the groin or down the [dxline.info]

Other risk factors for perirenal abscess include: Diabetes Having an abnormal urinary tract Trauma IV drug use Symptoms of perirenal abscess include: Chills Fever Pain in the flank (side of the abdomen) or abdomen, which may extend to the groin or down [medlineplus.gov]

The following case represents an unusual localization of infection with this organism.A 37-year-old married man had pain in the left flank for two weeks and shaking chills for three days. [nejm.org]

Diabetes mellitus, fever, malaise and pain in the left flank.Left hydronephrosis secondary to obstruction by proximal ureteral calculi. [slideshare.net]

Patients, typically middle-aged /elderly males, present with non-specific symptoms, such as fever, malaise, and weight loss. Right upper quadrant pain and tender hepatomegaly are specific features of a liver abscess but are often absent. [amboss.com]

Synonym: cerebral abscess ; intracranial abscess Symptoms Symptoms may include headache, fever, vomiting, malaise, irritability, seizures, or paralysis. Treatment The usual treatment is chemotherapy. [medical-dictionary.thefreedictionary.com]

Malaise, nausea, vomiting, anorexia and occasionally diarrhoea occur. There may or may not be accompanying lower urinary tract symptoms with frequency, dysuria, gross haematuria or hesitancy. [patient.info]

Constitutional symptoms : chills, malaise, anorexia and weight loss. Abdominal pain : Not localized due to the unusual site of the abscess. [wikidoc.org]

Abdominal mass (13%) or tenderness (49%), and flank mass (9%) or tenderness (42%) were seen less frequently, and 11% of patients did not have fever, flank, or abdominal findings. [ncbi.nlm.nih.gov]

A flank mass is palpable if the abscess is large or located in the inferior pole of the kidney space (9-47%). A renal malignancy must be ruled out in these patients with appropriate radiographic studies (eg, CT scanning, MRI). [emedicine.medscape.com]

Despite immunosuppression, signs and symptoms of perinephric abscess were prominent and included fever, flank and abdominal pain and tenderness, and abdominal mass. [ncbi.nlm.nih.gov]

pain, vomiting and diarrhoea for seven days. [veterinaryrecord.bmj.com]

A 53-year-old Chinese premenopausal woman presented with intermittent right flank pain for many years. Imaging studies revealed a contracted non-functioning right kidney and a perinephric abscess. [ncbi.nlm.nih.gov]

A 69-yr-old woman presented to our emergency room with severe right flank pain that had developed one week earlier. She also complained of anuria for three days. [synapse.koreamed.org]

flank pain, tactile fever, chills, nausea, anorexia, and a single episode of hematuria. [aafp.org]

Despite immunosuppression, signs and symptoms of perinephric abscess were prominent and included fever, flank and abdominal pain and tenderness, and abdominal mass. [ncbi.nlm.nih.gov]

A palpable flank or abdominal mass is present in about half of the cases. The mass may be better appreciated by examination of the patient in the knee–chest position. There may also be signs of psoas muscle irritation with flexion of the thigh. [urologysurgery.wordpress.com]

Case Report A 43-year-old female, with left renal stone, presented to our hospital after two days of fever and left flank pain. [ijcasereportsandimages.com]

We report an unusual case of a patient with a perinephric abscess who presented with chronic diarrhea and weight loss. [ncbi.nlm.nih.gov]

Physical exam for both acute pyelonephritis and perinephric abscess is usually positive for the following: fever, tachycardia, tenderness over the costoverterbral angles and abdomen on deep palpation. [clinicaladvisor.com]

Symptoms of Renal Abscess Weight loss Discomfort Specific Symptoms of Renal Abscess Fever with chills Uncontrollable shaking or shivering Temperature- 112 to 104 0 F Excessive Sweating Abdominal Pain Painful Urination Bloody Urine Hypotension Pale Skin Tachycardia [epainassist.com]

In advanced cases with septicemia, the patient may be drowsy with decreased level of consciousness. [1] Vital signs Fever Tachycardia Tachypnea Hypotension (if patient is presenting with shock ) Abdominal Examination Abdominal tenderness is often present [wikidoc.org]

Signs of sepsis (eg, tachypnoea, tachycardia, hypotension). Dehydration or inability to take fluids/medication. Severe pain or debility. Failure of response to treatment in primary care within 24 hours. [ 8 ] Urinary tract obstruction. [patient.info]

The initial evaluation revealed high fever (body temperature 39.7 C), tachycardia (heart rate, 112 beats per minute), leukocytosis (white blood cell, 24,560 per micrometer) with a left shift of elevated C-reactive protein (18.98 mg/dL), and left flank [ijcasereportsandimages.com]

Persistent bacteremia resulted in the development of ecthyma gangrenosum, which has not previously been associated with Klebsiella spp infection. [nebraska.pure.elsevier.com]

On day 12 a vesicular rash appeared on the neck and herpes simplex virus 1 (HSV-1) grew on culture. On day 15 an upper leg collection was seen on CT scan. [ncbi.nlm.nih.gov]

We describe the case of a 37 year-old diabetic woman who presented with a multiloculated perinephric abscess caused by Streptococcus agalactiae 12 months after receiving a living-related kidney graft. [ncbi.nlm.nih.gov]

Streptococcus agalactiae (Group B Streptococcus). In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett’s Principles and practice of infectious diseases. 5th ed. Philadelphia: Churchill Livingston, 2000:2156–67. ... 2. [aafp.org]

Three cases were caused by Alcaligenes faecalis, Staphylococcus saprophyticus, or Streptococcus agalactiae, respectively. [kjim.org]

Ng E, Rossiter SB, Reimer GW: Renal puncture: a neglected aid in the diagnosis of renal masses. West J Med 104 :102–105, 1966 Google Scholar 5. Smith EH, Bartrum RJ Jr: Ultrasonically guided percutaneous aspiration of abscesses. [link.springer.com]

Author information 1 Emergency Department, East Surrey Hospital, Redhill, Surrey, United Kingdom. [email protected] Abstract Perinephric abscesses often present with flank pain and signs of sepsis, and are known to discharge to the skin. [ncbi.nlm.nih.gov]

Patients present usually with symptoms of more than one week, complaining about fever, flank pain or abdominal pain, night sweat and chills. More than 30% are afebrile. [urology-textbook.com]

Nephrobronchial fistula, while a rare complication of perinephric abscess, should be considered when a patient presents with perirenal suppurative process and chest x-ray findings consistent with pleural effusion or pulmonary infiltrates. [ncbi.nlm.nih.gov]

A patient is reported who developed perinephric abscess (Streptococcus pneumoniae) at the site of a renal biopsy performed five years earlier. Wisdom tooth impaction and extraction occurred shortly after the biopsy. [ncbi.nlm.nih.gov]

pneumonia. [4], [5] There are only few case reports of perinephric abscess due to Salmonella species in the literature. [jcrsmed.org]

One case caused by Streptococcus pneumoniae infection has been reported. [2] Anaerobes such as Clostridium, Bacteroides, and Actinomyces may account for some of the culture-negative abscesses. [emedicine.medscape.com]

We report a rare case of perinephric abscess caused by Fusarium chlamydosporum in a child who had a recent episode of pyelonephritis. [ncbi.nlm.nih.gov]