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Computerized tomography in acute pyelonephritis: the clinical correlations.
M Tsugaya1, N Hirao, H Sakagami
1Department of Urology, Nagoya City University School of Medicine, Japan.
The Journal of Urology
|September 1, 1990
Summary
Computerized tomography (CT) effectively assesses acute pyelonephritis. CT imaging provides a reliable measure of healing progress, especially in prolonged cases where lab tests and symptoms are less indicative.
Area of Science:
- Nephrology
- Radiology
- Medical Imaging
Background:
- Acute pyelonephritis is a common kidney infection.
- Assessing disease severity and healing can be challenging with traditional methods.
- Computerized tomography (CT) offers detailed anatomical visualization.
Purpose of the Study:
- To investigate the utility of CT in evaluating uncomplicated acute pyelonephritis.
- To correlate CT findings with laboratory results, clinical symptoms, and disease course.
- To determine CT's reliability in assessing healing and disease progression.
Main Methods:
- 19 patients with uncomplicated acute pyelonephritis underwent CT scans.
- Laboratory findings (ESR, CRP, pyuria) and clinical data (fever duration, flank pain) were collected.
- CT findings were analyzed for lesion severity and changes over time.
Main Results:
- Healing time varied significantly based on fever duration: 76 days for <2 weeks fever, 232 days for >2 weeks fever.
- CT findings correlated well with erythrocyte sedimentation rate, C-reactive protein, pyuria, and flank pain.
- In prolonged cases, CT was a more reliable indicator of progress than lab tests or symptoms.
Conclusions:
- CT is valuable for diagnosing acute pyelonephritis.
- CT aids in assessing disease severity and monitoring healing.
- CT provides a more objective assessment of healing in complicated or prolonged pyelonephritis cases.