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Renal abscesses are rare in childhood. They have vague manifestations and any delay in proper diagnosis and treatment could lead to morbidity and mortality. We present a 5-year-old girl with multiple renal abscesses after pyelonephritis that lead to total nephrectomy due to multiple drug resistance.
 The renal abscess may have subtle symptoms. Early diagnosis and treatment strongly prevents undue mortality and morbidity. This case highlights the need of timed diagnosis and proper treatment.  There must be a clinical suspicion of renal abscess if treatments have not enough effect on clinical condition of patient..

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Abstract:
Renal abscesses are rare in childhood. They have vague manifestations and  any delay in proper diagnosis and treatment could lead to morbidity and mortality. We present a 5 year old girl with multiple renal abscesses after pyelonephritis that lead to total nephrectomy due to multiple drug resistance.
 The renal abscess may have subtle symptoms. Early diagnosis and treatment strongly prevents undue mortality and morbidity. This case highlights the need of timed diagnosis and proper treatment.  There must be a clinical suspicion of renal abscess if treatments hve not enough effect on clinical condition of patient.