Abstract
Pyelonephritis is the inflammation of the upper urinary tract, involving the renal pelvis and parenchyma. Its prompt diagnosis is important in order to avoid both short- and long-term complications such as scarring of the kidneys, hypertension, and in some unfortunate case even chronic renal insufficiency leading to a transplant. In pediatric patients, it usually migrates to the kidney from the bladder, being considered a continuum of disease from the lower to the upper urinary tract, while it is rarely seeded there hematogenously.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alon U, Pery M, Davidai G, Berant M (1986) Ultrasonography in the radiologic evaluation of children with urinary tract infection. Pediatrics 78:58–64
Becknell B et al (2015) The diagnosis, evaluation and treatment of acute and recurrent pediatric urinary tract infections. Expert Rev Anti-Infect Ther 13:81–90
Bhat RG et al (2011) Pediatric urinary tract infections. Emerg Med Clin North Am 29:637–653
Bittar EE, Misanik L (1963) Renal necrotizing papillitis. Am J Med 34:82–87
Bocquet N et al (2015) Imaging strategy for children after a first episode of pyelonephritis. Arch Pediatr 22:547–553
Bourgault M, Grimbert P, Verret C et al (2013) Acute renal infarction: a case series. Clin J Am Soc Nephrol 8:392–398
Calisti A et al (2008) The risk of associated urological abnormalities in children with pre and postnatal occasional diagnosis of solitary, small or ectopic kidney: is a complete urological screening always necessary? World J Urol 26:281–284
Craig WD et al (2008) From the archives of the AFIP. Pyelonephritis: radiologic-pathologic review. RadioGraphics 28:255–276
Dalla Palma L, Pozzi Mucelli R, Pozzi Mucelli F (1997) Delayed CT in acute renal infarction. Semin Ultrasound CT MR 18:122–128
Das CJ et al (2014) Multimodality imaging of renal inflammatory lesions. World J Radiol 6:865–873
Dobyan DC, Truong LD, Eknoyan G (1993) Renal malacoplakia reappraised. Am J Kidney Dis 22:243–252
Dyer RB, Chen MY, Zagoria RJ (2004) Classic signs in uroradiology. RadioGraphics 24(Spec Issue):S247–S280
Gearhart JG, Rink RC, Mouriquand PDE (2011) Pediatric urology
Goel RH et al (2015) Acute urinary tract disorders. Radiol Clin N Am 53:1273–1292
Gordon I, Anderson PJ, Lythgoe MF, Orton M (1992) Can technetium-99m-mercaptoacetyltriglycine replace technetium-99m-dimercaptosuccinic acid in the exclusion of a focal renal defect? J Nucl Med 12:2090–2093
Heldmann M, Behm W, Reddy MP, Bozeman C, Welman G, Abreo F, Minagar A (2005) Pseudotumoral renal sarcoid: MRI, PET, and MDCT appearance with pathologic correlation. AJR Am J Roentgenol 185:697–699
Huang JJ, Tseng CC (2000) Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis. Arch Intern Med 160:797–805
Jakobsson B, Nolstedt L, Svensson L, So ̈derlundh S, Berg U (1992) 99mTechnetium-dimercaptosuccinic acid scan in the diagnosis of acute pyelonephritis in children: relation to clinical and radiological findings. Pediatr Nephrol 6:328–334
Kalra OP, Raizada A (2009) Approach to a patient with urosepsis. J Global Infect Dis 1:57–63
Nahar A, Akom M, Hanes D, Briglia A, Drachenberg CB, Weinman EJ (2004) Pyelonephritis and acute renal failure. Am J Med Sci 328:121–123
Päivänsalo M, Hellström P, Siniluoto T et al (1989) Emphysematous pyelonephritis. Radiologic and clinical findings in six cases. Acta Radiol 30:311–315
Rote AR, Bauer SB, Retik AB (1978) Renal abscess in children. J Urol 119:254–258
Shaikh N et al (2010) Risk of renal scarring in children with a first urinary tract infection: a systematic review. Pediatrics 126(6):1084–1091
Sheth S, Ali S, Fishman E (2006) Imaging of renal lymphoma: patterns of disease with pathologic correlation. Radiographics 26:1151–1168
Suzer O, Shirkhoda A, Jafri SZ, Madrazo BL, Bis KG, Mastromatteo JF (2002) CT features of renal infarction. Eur J Radiol 44:59–64
Wang LJ, Wong YC, Chen CJ, Lim KE (1997) CT features of genitourinary tuberculosis. J Comput Assist Tomogr 21:254–258
Wikstad I, Aperia A, Broberger O, Ekengren K (1979) Vesicoureteric reflux and pyelonephritis. Long time effect on area of renal parenchyma. Acta Radiol Diagn 20:252–260
Wippermann C, Schofer O, Beetz R, Schumacher R, Schweden F, Riedmiller H et al (1991) Renal abscess in childhood: diagnostic and therapeutic progress. Pediatr Infect Dis J 10:446–450
Yu M, Robinson K, Siegel C, Menias C. Complicated Genitourinary Tract Infections and Mimics. Curr Probl Diagn Radiol 2016 Feb 11 [Epub ahead of print]
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Scionti, A., Rossi, P., Gulino, P., Semeraro, A., Defilippi, C., Tonerini, M. (2016). Acute Pyelonephritis. In: Miele, V., Trinci, M. (eds) Imaging Non-traumatic Abdominal Emergencies in Pediatric Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-41866-7_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-41866-7_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-41865-0
Online ISBN: 978-3-319-41866-7
eBook Packages: MedicineMedicine (R0)