Clinical Characteristics of Acute Pyelonephritis in Spinal Cord Injury Patient / 대한비뇨기과학회지

ABSTRACT

Urinary tract infection is the main cause of death in spinal cord injury patient. Unfortunately. it is difficult accurately to diagnose acute renal parenchymal infection and to recognize the response of therapy in the spinal cord injury patient who may have abnormal voiding pattern as well as complete or partial loss of sensation. Thus to know any helpful method for diagnosis and follow-up in spinal cord injury patient with acute pyelonephritis, we analyzed 13 cases of clinical pyelonephritis and 14 cases of control group in spinal cord injury patient during the period from Feb, 1987 to Aug, 1988. The results were as follows ; 1. Serum C-reactive protein (CRP) determination and urinary lactate dehydrogenase (LDH) isoenzyme fraction rates were very valuable as the diagnostic test in patients of spinal cord injury with acute pyelonephritis. 2. Clinically the loss of fever was an important determinant of the response to therapy, and loss of pyuria and bacteriuria was little significant. But serum CRP was thought to be the important index for the follow-up test in these patients. 3. Vesicoureteral reflux and renal stones were proved as the important causative factors of acute pyelonephritis.