The Diagnosis of Upper Urinary Tract Infection Using Abdominal Computerized Tomography in Spinal Cord Injured Patients.

, Shin, Ji Cheol; , Park, Chang Il; , Rha, Dong Wook; , Chon, Joongson; , Kim, Jung Eun; , Jeon, Sang Chul; , Jung, Tae Ho

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2004;28(2):140-145.

Shin, Ji Cheol , Park, Chang Il , Rha, Dong Wook , Chon, Joongson , Kim, Jung Eun , Jeon, Sang Chul , Jung, Tae Ho

¹Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. medicus@yumc.yonsei.ac.kr
²Hansarang Asan General Hospital, Korea.

척수 손상 환자에서 복부 전산화 단층촬영을 이용한 상부 요로 감염의 진단

신지철, 박창일, 나동욱, 전중선¹, 김정은, 전상철, 정태호

연세대학교 의과대학 재활의학교실 및 재활의학연구소, ¹한사랑 아산병원

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. (J Korean Acad Rehab Med 2004; 28: 140- 145)

Key Words: Abdominal computerized-tomography, Acute pyelonephritis, Spinal cord injury, Urinary tract infection