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Klebsiella pneumoniae infection secondary to spontaneous renal rupture that presents only as fever: A case report

Chen-Guang Zhang, Min Duan, Xiang-Yang Zhang, Yan Wang, Sheng Wu, Li-Li Feng, Lin-Lin Song,
World Journal of Clinical Cases , Volume 9, pp 2602-2610; doi:10.12998/wjcc.v9.i11.2602

Abstract: Spontaneous renal rupture is a rare disease in the clinic. The causes of spontaneous renal rupture include extrarenal factors, intrarenal factors, and idiopathic factors. Reports on infection secondary to spontaneous renal rupture and the complications of spontaneous renal rupture are scarce. Furthermore, there are few patients with spontaneous renal rupture who present only with fever. We present the case of a 52-year-old female patient who was admitted to our hospital. She presented only with fever, and the cause of the disease was unclear. She underwent a contrast-enhanced computed tomography (CT) scan, which showed that the left renal capsule had a crescent-shaped, low-density shadow; the perirenal fat was blurred, and exudation was visible with no sign of calculi, malignancies, instrumentation, or trauma. Under ultrasound guidance, a pigtail catheter was inserted into the hematoma, and fluid was drained and used for the bacterial test, which proved the presence of Klebsiella pneumoniae. Two months later, abdominal CT showed that the hematoma was absorbed, so the drainage tube was removed. The abdominal CT was normal after 4 mo. Spontaneous renal rupture due to intrarenal factors causes a higher proportion of shock and is more likely to cause anemia.
Keywords: Fever / Klebsiella pneumoniae / Case report / Infection / Spontaneous / Renal rupture

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