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http://dx.doi.org/10.3339/jkspn.2010.14.2.195

Prognostic Factors of Renal Defects on the Initial DMSA Scan in Children with Acute Pyelonephritis  

Seon, Yeong-Seon (Department of Pediatrics, Ajou University School of Medicine)
Kwon, Duck-Geun (Department of Pediatrics, Ajou University School of Medicine)
Shin, Yun-Hyea (Department of Pediatrics, Ajou University School of Medicine)
Pai, Ki-Soo (Department of Pediatrics, Ajou University School of Medicine)
Publication Information
Childhood Kidney Diseases / v.14, no.2, 2010 , pp. 195-202 More about this Journal
Abstract
Purpose : The purpose of this study is to determine if there are prognostic factors leading to permanent parenchymal damages to kidney in children after acute pyelonephritis. Methods : This study was conducted in 160 pediatric patients with acute pyelonephritis admitted to Ajou University Hospital from 2000 to 2005, whose renal cortical defects were confirmed by $^{99m}Tc$-dimercaptosuccinic acid scintigraphy (DMSA scan). Along with the follow-up DMSA scan after 6 months, they were classified into two groups; recovered group (106) and scarred group (54). The clinical characteristics of each group were compared. Results : Among the total of 160 patients, 106 (66.3%) showed recovery of the initial defect (the recovered group), while 54 (33.8%) showed permanent defects on the followup DMSA scan (scarred group). Recovery rate was poor for patients of 1 year and older, or patients with the duration of fever and pyuria longer than 7 days. The recovery rate was poor in the patients with history of frequent febrile episodes and abnormal results of imaging studies, such as voiding cystourethrography (VCUG), ultrasonography. Conclusion : The recovery rate of children with renal defects on DMSA scan with acute pyelonephritis was lower when the patient is older than 1 year, when the duration of fever and pyuria exceeded 7 days, and when the patients had the histories of frequent febrile episodes and had urinary tract abnormalities on imaging studies. These findings suggest that there may be under- or mis-diagnosis of acute pyelonephritis by pediatrician.
Keywords
Acute pyelonephritis; Urinary tract infection; $^{99m}Tc$-DMSA scintigraphy; Recovery of renal defect; Frequent febrile episode;
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Times Cited By KSCI : 2  (Citation Analysis)
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