Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgo

Background: Acute pyelonephritis in children can leave a kidney scar that eventually can lead to hypertension or renal failure. 99mTc-dimercaptosuccinic acid renal scintigraphy (RC DMSA) is a widely accepted technique to assess children with acute pyelonephritis. Aim: To evaluate the presence of res...

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Autores principales:	Donoso R,Gilda, Lobo S,Gabriel, Arnello V,Francisca, Arteaga V,María Paz, Coll C,Claudia, Hevia J,Pilar, Rosati M,Pía, Lagos R,Elizabeth, Wolff F,Carlos, Pérez R,Andrés, Jiménez J,César
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2006
Materias:	C-reactive protein Pyelonephritis Radionuclide imaging
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300006
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spelling	oai:scielo:S0034-988720060003000062006-05-02Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgoDonoso R,GildaLobo S,GabrielArnello V,FranciscaArteaga V,María PazColl C,ClaudiaHevia J,PilarRosati M,PíaLagos R,ElizabethWolff F,CarlosPérez R,AndrésJiménez J,César C-reactive protein Pyelonephritis Radionuclide imaging Background: Acute pyelonephritis in children can leave a kidney scar that eventually can lead to hypertension or renal failure. 99mTc-dimercaptosuccinic acid renal scintigraphy (RC DMSA) is a widely accepted technique to assess children with acute pyelonephritis. Aim: To evaluate the presence of residual kidney scars detected through RC DMSA, in children with a first episode of acute pyelonephritis. Patients and methods: Clinical records of children with a first episode of acute pyelonephritis that were assessed within seven days of the episode with RC DMSA were reviewed. Children were considered eligible if they did not have a new episode of acute pyelonephritis and a second RC DMSA, one year after the first episode, was performed. The presence or absence of a renal scar after one year was associated to demographic, scintigraphy and laboratory variables. Results: Fifty nine children, aged 1 month to 10 years, 35 females, were studied. Thirty nine percent had a renal scar in the scintigraphy perfomed after one year of follow up. The presence of a scar was correlated with a C reactive protein over 130 mg/dl and an altered relative renal function (below 44%), during the acute phase. Conclusions: A high C reactive protein and alterations of relative renal function during the acute phase of acute pyelonephritis in children, may be risk factors for the development of renal scars in the long term follow upinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.3 20062006-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300006es10.4067/S0034-98872006000300006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	C-reactive protein Pyelonephritis Radionuclide imaging
spellingShingle	C-reactive protein Pyelonephritis Radionuclide imaging Donoso R,Gilda Lobo S,Gabriel Arnello V,Francisca Arteaga V,María Paz Coll C,Claudia Hevia J,Pilar Rosati M,Pía Lagos R,Elizabeth Wolff F,Carlos Pérez R,Andrés Jiménez J,César Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgo
description	Background: Acute pyelonephritis in children can leave a kidney scar that eventually can lead to hypertension or renal failure. 99mTc-dimercaptosuccinic acid renal scintigraphy (RC DMSA) is a widely accepted technique to assess children with acute pyelonephritis. Aim: To evaluate the presence of residual kidney scars detected through RC DMSA, in children with a first episode of acute pyelonephritis. Patients and methods: Clinical records of children with a first episode of acute pyelonephritis that were assessed within seven days of the episode with RC DMSA were reviewed. Children were considered eligible if they did not have a new episode of acute pyelonephritis and a second RC DMSA, one year after the first episode, was performed. The presence or absence of a renal scar after one year was associated to demographic, scintigraphy and laboratory variables. Results: Fifty nine children, aged 1 month to 10 years, 35 females, were studied. Thirty nine percent had a renal scar in the scintigraphy perfomed after one year of follow up. The presence of a scar was correlated with a C reactive protein over 130 mg/dl and an altered relative renal function (below 44%), during the acute phase. Conclusions: A high C reactive protein and alterations of relative renal function during the acute phase of acute pyelonephritis in children, may be risk factors for the development of renal scars in the long term follow up
author	Donoso R,Gilda Lobo S,Gabriel Arnello V,Francisca Arteaga V,María Paz Coll C,Claudia Hevia J,Pilar Rosati M,Pía Lagos R,Elizabeth Wolff F,Carlos Pérez R,Andrés Jiménez J,César
author_facet	Donoso R,Gilda Lobo S,Gabriel Arnello V,Francisca Arteaga V,María Paz Coll C,Claudia Hevia J,Pilar Rosati M,Pía Lagos R,Elizabeth Wolff F,Carlos Pérez R,Andrés Jiménez J,César
author_sort	Donoso R,Gilda
title	Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgo
title_short	Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgo
title_full	Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgo
title_fullStr	Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgo
title_full_unstemmed	Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgo
title_sort	cicatriz renal detectada mediante cintigrama renal dmsa en niños con primera pielonefritis aguda: estudio de factores de riesgo
publisher	Sociedad Médica de Santiago
publishDate	2006
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300006
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Cicatriz renal detectada mediante cintigrama renal DMSA en niños con primera pielonefritis aguda: estudio de factores de riesgo

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