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CARBUNCLE OF KIDNEY (RENAL CARBUNCLE)

CARBUNCLE OF KIDNEY (RENAL CARBUNCLE)

A localised inflammatory necrotic mass of tissue involving renal parenchyma, caused by Staphylococcus aureus and coliform organisms, source of which is cutaneous infections like boil and carbuncle. Renal carbuncle is a cortical lesion following bacteremia.

CLINICAL FEATURES:

  • Tender swelling in the loin
  • Leucocytosis
  • flank pain
  • fever
  • malaise
  • nausea

It is a collection of infective fluid in the kidney. It is usually a sequela of acute pyelonephritis, where severe vasospasm and inflammation may occasionally result in liquefactive necrosis and abscess formation.

INVESTIGATION:

  • Staphylococci can be isolated from the urine.
  • IVU shows obliteration of group of calyces, mimics renal cell carcinoma.
  • USG
  • X RAY KUB
  • CT SCAN
  • URINE – CS ,RE

HOMOEOPATHIC MANAGEMENT:

  • ARSENIC
  • HEPAR SULPH
  • HIPPOZ
  • MERC
  • SILICEA
  • NAT SULPH