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