Antibiotic Treatment of Renal Carbuncle

Abstract

Renal carbuncles in 7 young males were successfully treated with long-term administration of penicillinase-resistant antibiotics. Selective renal arteriography provided an accurate means of diagnosis and permitted a trial of medical therapy. All patients experienced a prompt and sustained clinical remission; surgical exploration was obviated in all but 1 instance, in which post-treatment radiographic changes persisted.