Cintigrama renal DMSA en niños con primera pielonefritis aguda: correlación con exámenes de laboratorio, ecografía y la presencia de reflujo vésico ureteral / Tc 99M DMSA scintigraphy in children with a first episode of pyelonephritis
Rev. méd. Chile
;
132(1): 58-64, ene. 2004. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-359180
ABSTRACT
Background:
Tc99m DMSA (dimercaptosuccinic acid) scintigraphy has a high sensitivity for the detection of cortical kidney damage.Aim:
To evaluate the Tc99m DMSA renal scintigraphy in children with a first episode of acute pyelonephritis and its association with laboratory parameters, kidney ultrasound and vesicoureteral reflux. Patients andmethods:
We studied 143 children (age range 8 days, 12 years, 66 percent female) hospitalized with the clinical diagnosis of acute pyelonephritis (first episode) with a positive urine culture and a renal scintigraphy performed within seven days of diagnosis. DMSA was considered the gold standard for the detection of cortical lesions. Its results were related to the presence of fever, C-reactive protein (CRP), erythrocyte sedimentation rate (VHS), white blood count (WBC), ultrasound examination and vesicoureteral reflux.Results:
Seventy nine percent of the population had an abnormal DMSA scan. There were no differences between sex, age and laboratory parameters in children with normal or abnormal DMSA scans, except for CRP (p <0.005). Ultrasound was coincident with the scan in 32 percent of patients. Eighteen percent had vesicoureteral reflux.Conclusions:
There is a high proportion of abnormal DMSA scans in children with a first episode of acute pyelonephritis (Rev Méd Chile 2004; 132 58-64).
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Kidney Function Tests
Type of study:
Prognostic study
Limits:
Child
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2004
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital San Juan de Dios/CL
/
Universidad de Chile/CL
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