Renal abscess due to Escherichia coli in a child

Among the various intraabdominal abscesses,renal abscess is a rare entity,especially in children and accounts for a number of cases of missed diagnoses. Drainage of pus and appropriate antibiotic therapy is the gold standard for treatment. Here we report a case of left renal abscess in a 6-year-old female child secondary to renal calculus. The patient presented with abdominal pain and mild fever for three months and the diagnosis was made by X-ray in the kidney,ureter and bladder (KUB) region,intravenous pyelography and ultrasonography of the abdomen. Escherichia coli was isolated from pus obtained by percutaneous drainage under sonographic guidance. The patient responded to intra-venous ceftriaxone,amikacin,and percutaneous drainage.