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Computerized tomography and acute pyelonephritis in children. A clinical correlation
Urology
|February 1, 1987
Summary
Computerized tomography (CT) scans in children with acute pyelonephritis reveal three patterns: multifocal pyelonephritis, lobar nephronia, and focal pyelonephritis. All patients responded well to intravenous antibiotics, indicating lobar nephronia has a favorable prognosis.
Area of Science:
- Pediatric Nephrology
- Radiology
- Infectious Diseases
Background:
- Acute pyelonephritis is a common kidney infection in children.
- Accurate imaging is crucial for diagnosis and management.
- Understanding CT findings can guide treatment strategies.
Purpose of the Study:
- To analyze the clinical presentation and outcomes of pediatric pyelonephritis based on CT findings.
- To evaluate the efficacy of intravenous antibiotic therapy in different CT-defined pyelonephritis patterns.
- To determine if lobar nephronia indicates a poorer prognosis.
Main Methods:
- Retrospective review of 14 pediatric patients with pyelonephritis.
- Analysis of clinical records and computerized tomography (CT) scans.
- Correlation of CT findings with clinical course and treatment response.
Main Results:
- CT revealed three patterns: multifocal pyelonephritis (6), lobar nephronia (6), and focal pyelonephritis (2).
- All patients treated with intravenous antibiotics showed clinical improvement.
- Lobar nephronia responded similarly to pyelonephritis, with no surgical drainage required.
- Underlying conditions like diabetes were noted in 8 patients.
Conclusions:
- CT scanning identifies distinct imaging patterns in pediatric pyelonephritis.
- These patterns, including lobar nephronia, exhibit similar clinical behavior and prognosis.
- Intravenous antibiotic therapy alone is sufficient for managing these conditions.