Hepatic and pulmonary nodular lesions in pediatric urinary tract infections
- Authors
- Yim, Hyung Eun; Choi, Byung Min; Rhie, Young Jun; Yoo, Kee Hwan; Hong, Young Sook; Lee, Joo Won
- Issue Date
- 3월-2011
- Publisher
- SPRINGER
- Keywords
- Child; Risk assessment; Technetium Tc 99 m dimercaptosuccinic acid; Ultrasonography; Urinary tract infection
- Citation
- PEDIATRIC NEPHROLOGY, v.26, no.3, pp.425 - 431
- Indexed
- SCIE
SCOPUS
- Journal Title
- PEDIATRIC NEPHROLOGY
- Volume
- 26
- Number
- 3
- Start Page
- 425
- End Page
- 431
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/112914
- DOI
- 10.1007/s00467-010-1706-8
- ISSN
- 0931-041X
- Abstract
- One of the major goals in investigating children with urinary tract infection (UT!) is to recognize patients at risk of further UTI-related problems. This study reports the clinical features of 19 pediatric patients with UTIs in whom associated hepatic and/or pulmonary nodules were incidentally diagnosed by the imaging tests performed for the UTI. Hepatic nodules in five patients were detected on ultrasound scans, and pulmonary nodules and both hepatic and pulmonary nodules were detected in 12 and two children by dimercaptosuccinic acid scintigraphy. The mean age of the patients was 24.5 months. Vesicoureteral reflux (VUR) was detected in nine of 17 patients (52.9%), acute pyelonephritis was identified in nine of 18 patients, and renal scarring was found in 57.1% patients with pyelonephritis. On follow-up, the hepatic and/or pulmonary nodules regressed in all patients. About 85.7% of patients experienced a recurrence of UTI within I year. In comparison with age- and sex-matched controls with UTIs without pulmonary or hepatic nodules, the presence of VUR and the recurrence of UT! within 1 year were higher in patients with UTIs and nodules (P<0.05). The hepatic and/or pulmonary nodules identified on the ultrasound scan and by dimercaptosuccinic acid scintigraphy may provide a valuable diagnostic marker for the proper management of patients with an UTI.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.