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Diagnostic Imaging in Pediatric Renal Inflammatory Disease
John R. Sty, MD;
Robert G. Wells, MD;
Bruce A. Schroeder, MD;
Robert J. Starshak, MD
JAMA. 1986;256(7):895-899.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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THE TERM "renal inflammatory disease" encompasses a broad spectrum of conditions in pediatrics. These include diffuse pyelonephritis, focal pyelonephritis, renal abscess, pyonephrosis, and pararenal retroperitoneal abscesses due to infection of the urinary tract. Uncomplicated pyelonephritis does not require imaging for diagnosis if the clinical presentation and laboratory data are characteristic. However, the signs and symptoms of infection of the upper urinary tract in children may present a diagnostic challenge.
During the neonatal period, infections of the urinary tract are more common among boys and nonspecific symptoms predominate. These include poor feeding, slow gain in weight, vomiting, diarrhea, irritability, and jaundice. Fever or hypothermia also is often present. Bacteremia occurs in approximately 35% of newborns with infection of the urinary tract.1 In infants aged 1 month to 2 years, nonspecific manifestations still predominate, but sepsis and severe illness are less frequent than in the neonate.
Among ambulatory children younger than
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Radiology, Children's Hospital of Wisconsin, Milwaukee
Footnotes
Reprint requests to Department of Radiology, children's Hospital of Wisconsin, 1700 W Wisconsin Ave, PO Box 1997 Milwaukee, WI 53201 (Dr Sty).
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