Renal damage one year after first urinary tract infection: Role of dimercaptosuccinic acid scintigraphy☆☆☆★★★

作者: E. Stokland , M. Hellström , B. Jacobsson , U. Jodal , R. Sixt

DOI: 10.1016/S0022-3476(96)70024-0

关键词: NephropathyDimercaptosuccinic acidSurgeryGastroenterologyUrinary systemRefluxScintigraphyKidney diseaseC-reactive proteinMedicineInternal medicineComplication

摘要: Abstract OBJECTIVE: The aim of this study was to determine whether age, C-reactive protein (CRP), body temperature, or results voiding cystourethrography at diagnosis first-time symptomatic urinary tract infection could predict the risk renal damage as evaluated by dimercaptosuccinic acid (DMSA) scintigraphy performed 1 year after infection. DESIGN: included 157 children (median 0.4 year, range, 5 days 5.8 years) with In age older, a temperature 38.5° C higher necessary for inclusion. CRP and were measured time infection, shortly thereafter. DMSA later in all children. RESULTS: After 59 (38%) had scintigraphy, these, 28 (47%) reflux. There positive correlation between CRP, Children high levels fever, dilating reflux up 10 times than normal slightly elevated levels, no mild CONCLUSION: concentration index combination cystourethrography, are useful classifying low scintigraphic (J Pediatr 1996;129:815-20)

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