UNUSUAL PRESENTATIONS OF URINARY-TRACT IN FECTIONS

Urinary tract infections may have different clinical presentations tha t may range from asymptomatic bacteriuria to purulent collections and severe sepsts. We report 6 diabetic patients 3 presenting with a renal carbuncle and 3 with an emphysematous pyelonephritis. All required me dical and surgical treatment and had a good evolution. Two carbuncles were caused by beta- hemolytic type B streptococcus. This is the secon d notification of this agent as causative of renal abscesses, probably reaching the kidney through hematogenous dissemination from cutaneous foci.