Role of Tc-99m DMSA scintigraphy in the diagnosis of culture negative pyelonephritis
| العنوان: | Role of Tc-99m DMSA scintigraphy in the diagnosis of culture negative pyelonephritis |
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| المؤلفون: | Amnon Piepsz, Hamphrey Ham, Jack Levy, Cécile Lahy, Elena N. Levtchenko |
| المصدر: | Pediatric Nephrology, 16, pp. 503-505 Pediatric Nephrology, 16, 503-505 |
| بيانات النشر: | Springer Science and Business Media LLC, 2001. |
| سنة النشر: | 2001 |
| مصطلحات موضوعية: | Nephrology, medicine.medical_specialty, Adolescent, Urine, Scintigraphy, Gastroenterology, Disturbances in biochemical and functional development of the kidney during childhood, Internal medicine, medicine, Humans, Child, Radionuclide Imaging, Vesico-Ureteral Reflux, Pyelonephritis, medicine.diagnostic_test, business.industry, Infant, Stoornissen in de biochemische en functionele ontwikkeling van de nier op kinderleeftijd, medicine.disease, Surgery, El Niño, Dimercaptosuccinic acid, Child, Preschool, Technetium Tc 99m Dimercaptosuccinic Acid, Pediatrics, Perinatology and Child Health, Etiology, Radiopharmaceuticals, business, medicine.drug, Kidney disease |
| الوصف: | The aim of this work was to evaluate prospectively the proportion of children with a clinical and biological presentation of acute pyelonephritis, abnormal Tc-99m dimercaptosuccinic acid (DMSA) scintigraphy and negative or equivocal urine cultures. All patients aged 6 weeks to 15 years suspected of acute pyelonephritis (APN) were admitted to the Paediatric Department and underwent Tc-99m DMSA scintigraphy within 3 days after admission and at 6 months. Of 166 patients enrolled in the study, 15 (9%) had negative or equivocal urine culture despite clinical and scintigraphic evidence of APN. Of these 15 children, renal ultrasound was normal in 7 patients and vesicoureteric reflux was found in 9 patients. Control DMSA 6 months after acute episode showed the disappearance of cortical lesions in eight and partial improvement in four patients. In this prospective series, as many as 9% of patients with APN would have been missed on the basis of equivocal or negative urine cultures. It is suggested that Tc-99m DMSA scintigraphy should be performed in children with severe infection without clear aetiology, especially in those with abnormal urinalysis. |
| تدمد: | 0931-041X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bfb10ed1914680188f804699dc62e549 https://doi.org/10.1007/s004670100591 |
| حقوق: | RESTRICTED |
| رقم الأكسشن: | edsair.doi.dedup.....bfb10ed1914680188f804699dc62e549 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 0931041X |
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