CLINICAL CHARACTERISTICS OF RODENTICIDE POISONING IN CHILDREN AT THE VIETNAM NATIONAL CHILDREN’S HOSPITAL
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Abstract
Objective: Describe the clinical characteristics and etiological agents of renal abscess in
children at the National Children’s Hospital.
Methods: Retrospective description of a series of cases. Patients diagnosed with kidney abscess at the Department of Nephrology and Dialysis and Urology, National Children’s Hospital from January 1, 2019 to July 31, 2025.
Results: There were 85 patients who met the selection criteria for the study. The median age was 67 (25 - 134) months with 48.2% of children under 5 years old. The male-to-female ratio was 1.07:1. 28.2% of patients had favorable factors, mainly manifested as abnormal urogenital function before onset. Common clinical symptoms: fever (98.8%), abdominal pain/back pain (62.4%) and nausea (30.6%) when the child was hospitalized. Blood tests: The median peripheral blood white blood cell count was 16.3 G/l. The CRP index was increased with a median value of 124.2 mg/l. No patients present with a reduced glomerular filtration rate < 60 ml/min/1,73m2. Microbiological cultures were positive in 17% of specimens; the most common causative microorganisms identified in the positive cultures were Staphylococcus aureus (48.1%) and E. coli (26.0%).
Conclusion: Renal abscesses were characterized primarily by fever, abdominal/flank pain, and leukocytosis, and elevated CRP. Staphylococcus aureus being the predominant etiological agent identified.
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Keywords
Renal abscess, favorable factors, Staphylococcus aureus
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