PARANEPHRITIC ABSCESS IN CHILDHOOD

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Abstract
Medical literature during the past fifteen years has contained very few reports of paranephritic abscess in childhood, and, as Helmholtz states, "it would seem that the condition is not as common as it was twenty to thirty years ago." Since Rayer, in 1839, first described inflammation of the fatty capsule of the kidney as perinephritis, the terminology of inflammations in this neighborhood has been the object of many attempts to differentiate accurately one from the other. On a strict anatomic basis Israel has used the prefixes epi, para and peri to elucidate the pathologic conditions met, but clinically they are impossible of differentiation. Paranephritis means an inflammation of the fatty capsule and the pararenal accumulation of adipose tissue. Perinephritis is an inflammation of the fibrous capsule. Paranephritis is, however, quite generally understood to mean phlegmonous inflammation about the kidney, the final stage of which is a paranephritic abscess. It seems

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