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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1997-10-22
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pubmed:abstractText |
A prospective study was performed on 185 children with symptomatic urinary tract infection (UTI), 130F and 55M, having a median age of 0.9 y (range 0.1-9.8) at the time of UTI. The aim of the study was to find out how the 99mTechnetium-dimercaptosuccinic acid (DMSA) scan should be used to investigate UTI, and to follow the development of renal changes during pyelonephritis into subsequent permanent renal damage. All children were investigated with a DMSA scan within 5 days after admission and after 3.9-53.3 (median 9.2) weeks, and 159 were studied again after approximately 2 y (range 1.5-3.9 y). They all underwent micturition cystourethrography at the time of the second study. At the time of infection, the DMSA scan was abnormal in 85% of the children, in 58% at the first follow-up and in 36% at the second follow-up. An abnormal DMSA scan performed within 20 weeks from infection became normal in 38% of cases on the third study, while only 1/10 abnormal DMSA scans performed more than 20 weeks after infection became normal after 1.5-3.9 y. Persistent renal changes were more common in children > 4 y of age than in children < or = 1 y of age. Two months after the presenting infection, it was unusual to see a normal DMSA scan in a child with a VUR gr. > or = 3. The study suggests that DMSA changes after an index UTI may be transient for a longer period of time than has been previously considered. Therefore, in order to detect persistent changes, a DMSA scan should be performed more than 5 months after UTI.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0803-5253
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
86
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
803-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9307157-Child,
pubmed-meshheading:9307157-Child, Preschool,
pubmed-meshheading:9307157-Female,
pubmed-meshheading:9307157-Humans,
pubmed-meshheading:9307157-Infant,
pubmed-meshheading:9307157-Infant, Newborn,
pubmed-meshheading:9307157-Kidney,
pubmed-meshheading:9307157-Male,
pubmed-meshheading:9307157-Organotechnetium Compounds,
pubmed-meshheading:9307157-Prospective Studies,
pubmed-meshheading:9307157-Pyelonephritis,
pubmed-meshheading:9307157-Recurrence,
pubmed-meshheading:9307157-Succimer,
pubmed-meshheading:9307157-Technetium Tc 99m Dimercaptosuccinic Acid,
pubmed-meshheading:9307157-Time Factors,
pubmed-meshheading:9307157-Urinary Tract Infections,
pubmed-meshheading:9307157-Urography
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pubmed:year |
1997
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pubmed:articleTitle |
Transient pyelonephritic changes on 99mTechnetium-dimercaptosuccinic acid scan for at least five months after infection.
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pubmed:affiliation |
Department of Pediatrics and Nuclear Medicine, Karolinska Institute, Huddinge University Hospital, Sweden.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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