Kidney abscess with fever for a month should be treated with either medication or surgical treatment, etc. Kidney abscess is a mass that forms when the kidney is infected by pathogenic bacteria, resulting in pus, bacteria and debris. 1.Medication: (1) Antibiotics: mainly choose sensitive antibiotics for treatment, commonly used drugs are Piperacillin, Cefoperazone, Levofloxacin, Amikacin and so on. (2) Symptomatic treatment: those with fever can be cooled down physically with ice packs, etc. If the body temperature exceeds 38.5 degrees, acetaminophen, ibuprofen and other medications can be taken to relieve the symptoms; they can also be combined with sodium bicarbonate to reduce the acidity of urine and reduce the irritation of urine to the bladder. 2. Surgical treatment: (1) Percutaneous drainage: when the kidney abscess is large, drainage is needed, the main purpose is to eliminate pus to relieve pain, fever and other symptoms. (2) Other surgical procedures: if there is an obstructive cause, surgical drainage or nephrectomy is needed. Kidney abscess fever for a month, you should go to the regular hospital as soon as possible to check, follow the medical advice standardized treatment.