2018, Number 2
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Rev Mex Pediatr 2018; 85 (2)
Cortical renal scintigraphy with 99mTc-DMSA: apropos of a case with renal scars and double ureter
Enríquez-Labrada RD, Schalch-Ponce de León JM
Language: Spanish
References: 11
Page: 73-76
PDF size: 263.53 Kb.
ABSTRACT
In this article, images by cortical renal scintigraphy with
99mTc-DMSA from a 6-year-old girl with a history of multiple urinary tract infections, including pyelonephritis, in addition to double ureter are presented. With scintigraphy significant decrease in the size of the right kidney, multiple renal scarring and decreased renal function was observed. Finally the indications for conducting such studies are discussed.
REFERENCES
Montini G, Tullus K, Hewitt I. Febrile urinary tract infections in children. N Engl J Med. 2011; 365(3): 239-250.
González-Rodríguez JD, Rodríguez-Fernández LM. Infección de vías urinarias en la infancia. Protoc Diagn Ter Pediatr. 2014; 1: 91-108. Disponible en: https://www.aeped.es/sites/default/files/documentos/07_infeccion_vias_urinarias.pdf
Edefonti A, Tel F, Testa S, De Palma D. Febrile urinary tract infections: clinical and laboratory diagnosis, imaging, and prognosis. Semin Nucl Med. 2014; 44(2): 123-128.
Gonzalo-de-Liria CR, Méndez-Hernández M, Azuara-Robles M. Cap. 14: Infección urinaria. En: Asociación Española de Pediatría, Sociedad Española de Infectología Pediátrica. Protocolos diagnóstico-terapéuticos de la AEP: Infectología pediátrica. 3a ed. ERGON; 2011. Disponible en: http://www.aeped.es/sites/default/files/documentos/itu.pdf
Urinary tract act infection in under 16s: diagnosis and management. National Institute for Health and Care Excellence, August 2007. Available in: https://www.nice.org.uk/guidance/cg54
Saleh-Farghaly HR, Mohamed-Sayed MH. Technetium-99m dimercaptosuccinic acid scan in evaluation of renal cortical scarring: Is it mandatory to do single photon emission computerized tomography? Indian J Nucl Med. 2015; 30(1): 26-30.
Gerald A, Mandell GA, Douglas F, Eggli DF, Hershey MS, David L et al. Procedure Guideline for Renal Cortical Scintigraphy in Children. Society of Nuclear Medicine. 2003; 195–198. Available in: http://snmmi.files.cms-plus.com/docs/pg_ch32_0403.pdf
Piepsz A, Colarinha P, Gordon I, Hahn K, Olivier P, Roca I et al. Revised Guidelines on 99m Tc-DMSA Scintigraphy in Children. Eur J Nucl Med. 2009; 28(11): 1-6.
Brenner M, Bonta D, Eslamy H, Ziessman HA. Comparison of 99mTc-DMSA dual-head SPECT versus high-resolution parallel-hole planar imaging for the detection of renal cortical defects. AJR Am J Roentgenol. 2009; 193(2): 333-337.
Majd M, Nussbaum-Blask AR, Markle BM, Shalaby-Rana E, Pohl HG, Park JS et al. Acute pyelonephritis: comparison of diagnosis with 99mTc-DMSA, SPECT, spiral CT, MR imaging, and power Doppler US in an experimental pig model. Radiology. 2001; 218(1): 101-108.
Shaikh N, Ewing AL, Bhatnagar S, Hoberman A. Risk of renal scarring in children with a first urinary tract infection: a systematic review. Pediatrics. 2010; 126(6): 1084-1091.