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Guest Editor: Blaufox M. D.
 

The Quarterly Journal of Nuclear Medicine 2002 December;46(4):304-10

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Urinary tract infection and other pediatric considerations

Rossleigh M. A.

Department of Nuclear Medicine The Prince of Wales and Sydney Children’s Hospital University of New South Wales, Sydney, Australia


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Urinary ­tract infec­tion in child­hood can ­lead to chron­ic seque­lae, par­tic­u­lar­ly in the pres­ence of ves­i­co-ure­ter­ic ­reflux or obstruc­tion. The ­renal com­pli­ca­tions of ­acute pye­lo­neph­ritis or resid­u­al chron­ic ­renal cor­ti­cal scar­ring are ­most accu­rate­ly eval­u­at­ed ­with scin­tig­ra­phy ­using 99mTc dimer­cap­tos­uc­cin­ic ­acid. The diag­no­sis of ­renal obstruc­tion can be prob­le­mat­ic, par­tic­u­lar­ly in ­infants and chil­dren. Diuresis renog­ra­phy is an estab­lished ­tool in diag­nos­ing and assess­ing the sever­ity of obstruc­tion. However the meth­o­dol­o­gy for per­form­ing diu­re­sis renog­ra­phy is a ­very con­tro­ver­sial ­area in paed­i­at­ric nucle­ar med­i­cine, due to the ­lack of a ­gold stan­dard. The sur­gi­cal man­age­ment of neo­na­tal hydro­neph­ro­sis is sim­i­lar­ly con­tro­ver­sial.

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