Una lesión en el cintigrama renal dmsa 6 meses post fase aguda de una pielonefritis representa siempre una cicatriz: Un debate abierto
Author
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Donoso, Gilda
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Lagos, Elizabeth
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Rosati, Pí
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Hevia Juricic, María del Pilar
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Cuevas, Karen
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Lobo, Gabriel
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Pérez, Andés
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Jiménez, Cesar
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Gutiérrez, Daniela
Admission date
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2019-01-29T13:55:59Z
Available date
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2019-01-29T13:55:59Z
Publication date
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2012
Cita de ítem
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Revista Medica de Chile, Volumen 140, Issue 6, 2012, Pages 746-750
Identifier
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00349887
Identifier
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07176163
Identifier
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10.4067/S0034-98872012000600008
Identifier
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https://repositorio.uchile.cl/handle/2250/160026
Abstract
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Background: Abnormal Dimercaptosuccinic acid (DMSA) renal scintigraphy performed six months after an acute pyelonephritis (AP) is generally interpreted as scarring. Aim: To perform a follow up of childhood patients showing scintigraphic renal lesions during the acute phase of pyelonephritis (within 7 days from the beginning of fever). Material and Methods: A scintigraphic control was carried out at 5-7 months and, in case of persistent lesions, an additional late scintigraphy at 10-13 months. All patients were followed clinically for one year and those with a relapse of urinary tract infection were excluded from the study. Results: Eighty five patients with a median age of 8 months were included. Among these, the first scintigraphic control was normal in 59 (69%) and abnormal in 26 patients (31%). In five of these 26 patients (5/26: 19%-5/85: 6%), a considerable regression of the lesions was obvious on the early control, and normalized completely on the late control.