Primary neonatal MRSA pyonephrosis

Int Urol Nephrol. 2013 Aug;45(4):939-42. doi: 10.1007/s11255-012-0260-7. Epub 2012 Aug 21.

Abstract

Pyonephrosis is uncommon in adult and paediatric population and very rare in neonates. Neonatal candidal and staphylococcal pyonephrosis has been reported earlier, and this is the first reported case of MRSA pyonephrosis. A case of potentially lethal fulminating primary MRSA pyonephrosis with septic shock in a neonate in whom investigations showed refluxing and obstructing left megaureter requiring successful surgical correction has been reported.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Blood / microbiology
  • Combined Modality Therapy
  • Critical Illness
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Male
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification*
  • Nephrostomy, Percutaneous / methods*
  • Pyonephrosis / diagnosis
  • Pyonephrosis / microbiology
  • Pyonephrosis / therapy*
  • Radiography
  • Rare Diseases
  • Risk Assessment
  • Shock, Septic / complications
  • Shock, Septic / diagnosis
  • Shock, Septic / therapy*
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / drug therapy
  • Treatment Outcome
  • Ultrasonography, Doppler
  • Ureteral Obstruction / diagnostic imaging
  • Ureteral Obstruction / etiology
  • Ureteral Obstruction / surgery
  • Urinalysis
  • Vesico-Ureteral Reflux / diagnostic imaging
  • Vesico-Ureteral Reflux / etiology
  • Vesico-Ureteral Reflux / therapy

Substances

  • Anti-Bacterial Agents