Febrile urinary tract infection in @entity1 : Role of @entity29582 ( XXXX ) scan and other imaging techniques.

@entity1 @entity29582 @entity8 @entity9409 @entity3025 @entity2885
Fifty @entity1 (37 females and 13 males) with first febrile urinary tract infections were studied to assess the value of @entity29582 ( @entity9409 ) scan in detecting inflammatory changes of @entity2885 ( @entity2885 ). These findings were compared with renal ultrasonography (US). We also evaluated the reliability of clinical and laboratory observations in diagnosing @entity2885 ( @entity2885 ). All @entity1 had micturating cystourethrography (MCUG). @entity9409 -documented @entity2885 was present in 29 (58%) @entity1 . Only four @entity1 (8%) demonstrated changes suggestive of @entity2885 on renal ultrasonography. @entity3025 ( @entity3025 ) was documented in 17 (47%) of the total group and in 13 (45%) of those with abnormal @entity9409 scan. Follow-up @entity9409 scan in 15 @entity1 with initial abnormal findings showed complete recovery in seven (47%). Our data have shown that @entity9409 renal scan is the most useful investigational procedure in @entity1 with febrile UTI. The diagnosis of @entity2885 , depending on clinical and laboratory data, is unreliable. Renal US alone can miss serious @entity8 . MCUG remains the most sensitive procedure to detect @entity3025 and it should be performed in all @entity1 with UTI and abbormal @entity9409 scan. Early detection of @entity2885 allows the prompt introduction of antimicrobial agents in those @entity1 and can prevent or decrease @entity8 and its complications.
