The study was carried out to analyze the roentgenological findings associated with clinical symptoms andphysical findings about 18 cases of congenital hydronephrosis confirmed at the Dept. of Urology, Chonnam NationalUnversity Hospital from Jan. 1977 to Dec. 1981. The results were summarized as follows; 1. The congenitalhydronephrosis developed mostly in male (89%) and the distribution of age was between 4 months and 34 years. 2.The incidence of pathological side was 10 patients in left, 3 patients in right and 5 patients in bilateral. 3.The most common etiological factor was congenital UPJ stricture (33%), others composed of aberrant renal vessel(22%), ureterocele(22%), posterior urethral valve (11%), fibrous band(6%) and renal fusion(6%). 4. The mainsymptom was flank pain(56%) and in 7 cases (395) abdominal mass was palpable. 5. On laboratory examination, serumBUN and creatinine level were normal in 14 cases (78%) and 15 cases (825) respectively. In 2 cases of posteriorurethral valves, renal function was severely damaged. 6. Intravenous pyelography was performed in all cases andshowed pelvicaliceal dilatation in 13 cases, non-visualizing kidney in 5 cases, and characteristic crescent signin one case.
Constriction, Pathologic ; Creatinine ; Dilatation ; Humans ; Hydronephrosis ; Incidence ; Jeollanam-do ; Kidney ; Male ; Urography ; Urology

BACKGROUND: Cancer therapy-related infections due to neutropenia is a well known problem in cancer treatment. Leukemia increases the risk furthermore because of its nature of bone marrow involvement. Therefore knowledge of the aspects of infections in neutropenic leukemic patients are important in preventing morbidity and mortality. METHODS: This study was conducted by reviewing clinical records of 69 cases of 49 leukemic patients who had neutropenic fever during 1996~2001. Each case was reviewed and analyzed in terms of clinical status & treatment, laboratory results, origins of fever and pathogens (if origin was infectious), final outcome and prognostic factors. RESULTS: Of 69 cases of 49 leukemic patients with neutropenic fever, mortalilty was 29%. Microbiologically defined infection (MDI) was 45% and clinically defined infection (CDI) was 30.4%, which meant a increase in MDIs compared with the previous study. Major focuses of fever were lung, blood and catheter-related, which were similar to those of 1988~1995. The major pathogens were gram negative bacilli (43.2%), followed by gram positive cocci (29.7%), but the proportion of gram positive pathogens had increased. Age, usage of selective gut decontamination and colony-stimulating factors (CSFs), and the presence of bone marrow recovery were related to prognosis by univariate analysis. Multivariate logistic regression analysis revealed that the bone marrow recovery was the only significantly related to patient's outcome, which was the same as the previous study (P<0.001). CONCLUSION: Proportions of pathogens in febrile neutropenic patients were similar with the previous study, but gram positive infections are increasing recently. Bone marrow recovery was the only significant prognostic factor in these patients. And, the benefits of selective gut decontamination or CSF usage is still questionable.
Bone Marrow ; Colony-Stimulating Factors ; Decontamination ; Fever* ; Gram-Positive Cocci ; Humans ; Leukemia ; Logistic Models ; Lung ; Mortality ; Neutropenia ; Prognosis