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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.
Subject(s)

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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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