Renal cortical scintigraphy dmsa in the diagnosis of acute pyelonephritis
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Renal cortical scintigraphy (DMSA) in the diagnosis of acute pyelonephritis. Nan-Jing Peng. Kaohsiung Veterans General Hospital. Abstract. Acute pyelonephritis (APN) is a common febrile illness of children.

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Renal cortical scintigraphy (DMSA) in the diagnosis of acute pyelonephritis

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Renal cortical scintigraphy dmsa in the diagnosis of acute pyelonephritis

Renal cortical scintigraphy (DMSA) in the diagnosis of acute pyelonephritis

Nan-Jing Peng

Kaohsiung Veterans General Hospital


Renal cortical scintigraphy dmsa in the diagnosis of acute pyelonephritis

Abstract

Acute pyelonephritis (APN) is a common febrile illness of children.

Improper treatment of APN may lead to an irreversible damage of renal parenchyma, a decrease of GFR, and eventually hypertension and chronic renal insufficiency.

Early diagnosis and rapid effective antibacterial therapy for APN are vital for the prevention of renal scarring or chronic pyelonephritis.

Renal cortical scintigraphy (DMSA scan) is a highly sensitive and specific method to detect renal cortical abnormalities and be recommended the gold standard for the diagnosis of APN and be done routinely in children with UTI.


Renal cortical scintigraphy dmsa in the diagnosis of acute pyelonephritis

DMSA scan

Planar image

Posterior SPECT

Renal cortical scintigraphy of a 9 y/o girl with acute pyelonephritis. High resolution planar images show a cortical defect in midzone of left kidney (arrow). In SPECT image, the defect is most clearly visualized in posterior 1800 view (arrowhead).


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