A Case with Abrupt Progression of Renal Scarring or Abrupt Deterioration of Renal Function Associated with Vesicoureteral Reflux.
- Author:
Moon Kyu KIM
1
;
Sung Eun PARK
;
Jun Ho LEE
Author Information
1. Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea. naesusana@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Dimercaptosuccinic acid renal scan;
High grade vesicoureteral reflux;
Renal scarring;
Urinary tract infection
- MeSH:
Anti-Bacterial Agents;
Cicatrix;
Follow-Up Studies;
Humans;
Male;
Succimer;
Urinary Tract Infections;
Vesico-Ureteral Reflux
- From:Journal of the Korean Society of Pediatric Nephrology
2011;15(2):179-183
- CountryRepublic of Korea
- Language:English
-
Abstract:
Abrupt progression of renal scarring associated with vesicoureteral reflux (VUR) is rare in males over 2 years old of age. We report a 5 year old boy with sustained unilateral high grade VUR who experienced abrupt progression of renal scarring; he had a relative renal radionuclide uptake of 38% at 2 years of age that dropped to 8% after three years. Per his parent's wishes, he took prophylactic antibiotics for 25 months after his first febrile urinary tract infection (UTI) at 4 months old without surgical management. One episode of recurrent breakthrough infection occurred at the age of 2 years. This observation reminds us that a recommending surgical management for sustained high grade VUR associated with renal scarring might be needed. Close follow up of DMSA for renal scanning, and long term follow up of patients after the first febrile UTI are important.
