The Diagnosis of Upper Urinary Tract Infection Using Abdominal Computerized Tomography in Spinal Cord Injured Patients.
- Author:
Ji Cheol SHIN
1
;
Chang Il PARK
;
Dong Wook RHA
;
Joongson CHON
;
Jung Eun KIM
;
Sang Chul JEON
;
Tae Ho JUNG
Author Information
1. Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. medicus@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Abdominal computerized-tomography;
Acute pyelonephritis;
Spinal cord injury;
Urinary tract infection
- MeSH:
Abscess;
Diagnosis*;
Drainage;
Fever;
Humans;
Nephrectomy;
Pyelonephritis;
Spinal Cord Injuries;
Spinal Cord*;
Tomography, X-Ray Computed;
Urinary Tract Infections*;
Urinary Tract*
- From:Journal of the Korean Academy of Rehabilitation Medicine
2004;28(2):140-145
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To reveal the usefulness of abdominal computerized tomography (CT) for the detection of complicated and uncomplicated upper urinary tract infection (UTI)s in patients with spinal cord injury (SCI). METHOD: Twenty-two patients with SCI were included in this study. They had UTIs with persistent high fever despite conservative treatments. In all patients, abdominal CT was performed. RESULTS: Acute pyelonephritis (APN) with or without complications was detected in 13 patients (59.1%). Four patients were accompanied with complications, 1 perirenal abscess, 1 renal and perirenal abscess with staghorn stone, 1 urosepsis with renal abscess and 1 urosepsis. Simple nephrectomy was performed in a patient with perirenal and renal abscesses with a staghorn stone. Percutaneous abscess drainage was performed in one patient with perirenal abscess. They all recovered without further complications. CONCLUSION: Abdominal CT should be considered to detect uncomplicated and complicated upper UTIs in SCI patients who present persistent UTI symptoms despite conservative treatments.
