The Diagnosis of Upper Urinary Tract Infection Using Abdominal Computerized Tomography in Spinal Cord Injured Patients
Journal of the Korean Academy of Rehabilitation Medicine
;
: 140-145, 2004.
Article
in Korean
| WPRIM
| ID: wpr-723914
ABSTRACT
OBJECTIVE:
To reveal the usefulness of abdominal computerized tomography (CT) for the detection of complicated and uncomplicated upper urinary tract infection (UTI)s in patients with spinal cord injury (SCI).METHOD:
Twenty-two patients with SCI were included in this study. They had UTIs with persistent high fever despite conservative treatments. In all patients, abdominal CT was performed.RESULTS:
Acute pyelonephritis (APN) with or without complications was detected in 13 patients (59.1%). Four patients were accompanied with complications, 1 perirenal abscess, 1 renal and perirenal abscess with staghorn stone, 1 urosepsis with renal abscess and 1 urosepsis. Simple nephrectomy was performed in a patient with perirenal and renal abscesses with a staghorn stone. Percutaneous abscess drainage was performed in one patient with perirenal abscess. They all recovered without further complications.CONCLUSION:
Abdominal CT should be considered to detect uncomplicated and complicated upper UTIs in SCI patients who present persistent UTI symptoms despite conservative treatments.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pyelonephritis
/
Spinal Cord
/
Spinal Cord Injuries
/
Urinary Tract
/
Urinary Tract Infections
/
Tomography, X-Ray Computed
/
Drainage
/
Diagnosis
/
Abscess
/
Fever
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Academy of Rehabilitation Medicine
Year:
2004
Type:
Article
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