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Early dimercaptosuccinic acid renal scan in children with first febrile urinary tract infection

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Abstract

Objectives

To determine use of early Tc-99m dimercaptosuccinic acid scintigraphy in screening for vesicoureteral reflux following first febrile urinary tract infection.

Methods

43 children (1 mo-5 yr) with first febrile urinary tract infection underwent micturating cystourethrography, abdominal sonogram and early dimercaptosuccinic acid scintigraphy.

Results

Early dimercaptosuccinic acid scintigraphy had 72% sensitivity and 76% specificity for vesicoureteral reflux. For dilating vesicoureteral reflux, sensitivity and specificity were 100% and 75%, respectively.

Conclusion

Early dimercaptosuccinic acid scintigraphy has the potential to replace micturating cystourethrography in initial evaluation of febrile urinary tract infection.

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Authors and Affiliations

  1. Departments of Pediatrics, G Kuppuswamy Naidu Memorial Hospital, Coimbatore, India

    K. Umamageswari & B. Antony Terance

  2. Departments of Nuclear Medicine, G Kuppuswamy Naidu Memorial Hospital, Coimbatore, India

    N. Anirudhan

Authors
  1. K. Umamageswari
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  2. B. Antony Terance
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  3. N. Anirudhan
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Correspondence to K. Umamageswari.

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Umamageswari, K., Terance, B.A. & Anirudhan, N. Early dimercaptosuccinic acid renal scan in children with first febrile urinary tract infection. Indian Pediatr 52, 315–317 (2015). https://doi.org/10.1007/s13312-015-0631-0

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  • DOI: https://doi.org/10.1007/s13312-015-0631-0

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