Evaluation of Imaging Studies in Male Infants less than 3 Months after First Urinary Tract Infection
Journal of the Korean Society of Pediatric Nephrology
;
: 30-35, 2001.
Artículo
en Coreano
| WPRIM
| ID: wpr-210227
ABSTRACT
PURPOSE:
To evaluate the frequency of urinary tract anomalies in male neonates less than 3months old who presented with urinary tract infection(UTI) and to evaluate a appropriate imaging approach after first UTI. MATERIALS ANDMETHODS:
During a period of 5 years, from March 1994 to February 1999, 65 male infants less than 3months old(range 4-92 days, mean 43 days) with UTI were evaluated. Ultrasound(US) and Voiding cystourethrogram(VCUG) were done in 60 patients. Due to refusal and technological problem, 5 patients were missed. 99mTc-dimercaptosuccinic acid renal scan (99mTc-DMSA renal scan) was recommended to most patients but performed in 40 patients. Renal scan was performed at least 3 months later after urinary tract infection.RESULTS:
Urinary tract anomalies were found in 26 of 65 infants. Twenty-six had vesicoureteral reflux(VUR), two had both VUR and double ureter, two had both VUR and posterior urethral valve. In patients with VUR, eight had renal scar or renal atrophies. In case of renal scar or atrophy, grades of VUR were III or above.CONCLUSION:
We suggest that US and VCUG should be routinely performed in infants(<3months)with first UTI. 99mTc-DMSA renal scan should be performed only when renal parenchymal damage was observed in US and VUR grade III or above in VCUG.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Atrofia
/
Uréter
/
Sistema Urinario
/
Infecciones Urinarias
/
Cicatriz
/
Ácido Dimercaptosuccínico de Tecnecio Tc 99m
/
Disulfiram
Límite:
Humanos
/
Lactante
/
Masculino
/
Recién Nacido
Idioma:
Coreano
Revista:
Journal of the Korean Society of Pediatric Nephrology
Año:
2001
Tipo del documento:
Artículo
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