Journal article

VESICOURETERAL REFLUX - AN ACCURATE PREDICTOR OF ACUTE PYELONEPHRITIS IN CHILDHOOD URINARY-TRACT INFECTION

MR DITCHFIELD, JF DECAMPO, DJ COOK, TM NOLAN, HR POWELL, R SLOANE, K GRIMWOOD, S CAHILL

RADIOLOGY | RADIOLOGICAL SOC NORTH AMER | Published : 1994

Abstract

PURPOSE: To determine the association between vesicoureteral reflux (VUR) and the presence of acute pyelonephritis in children with urinary tract infections. MATERIALS AND METHODS: The authors studied 150 consecutive patients less than 5 years of age with their first proved urinary tract infection. All patients underwent renal cortical scintigraphy (with technetium-99m dimercaptosuccinic acid or Tc-99m gluconate) and voiding cystourethrography (VCUG) to identify the presence of cortical defects and VUR, respectively. RESULTS: Of 300 kidneys, 88 (29.3%) had a cortical defect at scintigraphy. Fifty-four of the 88 patients (61%) did not have VUR demonstrated at VCUG. Conversely, 72 of the 300 k..

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