ArticleCureus2026
A Case Report on Renal Abscess With Subsequent Perinephric Extension in a Patient With Poorly Controlled Type 2 Diabetes Mellitus.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Renal and perinephric abscesses are rare but potentially life-threatening complications of urinary tract infections (UTIs), especially in patients with diabetes mellitus. Diagnosis is often overlooked and delayed due to nonspecific clinical features and incomplete response to antimicrobial therapy. We report a case of a 62-year-old female with a history of poorly controlled type 2 diabetes mellitus (T2DM) who presented with flank pain, dysuria, vomiting, and fever. Imaging with contrast-enhanced computed tomography of the kidneys, ureters, and bladder (CT KUB) revealed right-sided acute pyelonephritis with an abscess in the mid-pole measuring over 5 cm, extending into the perinephric space. In spite of initial intravenous (IV) antibiotics, persistent clinical symptoms and elevated inflammatory markers required broad-spectrum antibiotics and image-guided percutaneous drainage. Culture of the abscess grew
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