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Characteristics and Treatment Trends for Emphysematous Pyelonephritis in Korea: A 10-Year Multicenter Retrospective Study

Choi SK, Yoo KH, Lee JW, Jung SI, Hwang EC, Choi J, Kim WB, Huh JS, Choi JB, Kim Y, Chung JM, Shin JH, Jung JH, Chung H, Bae S, Kim TH

Purpose: This study examined the characteristics, current treatment trends, and outcomes of patients with emphysematous pyelonephritis (EPN) in Korea. Materials and Methods: Two hundred and seventeen patients diagnosed with EPN were...
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Urinary neutrophil gelatinase-associated lipocalin: a marker of urinary tract infection among febrile children

Moon JH, Yoo KH, Yim HE

Background: Neutrophil gelatinase-associated lipocalin (NGAL) has emerged as a valuable biomarker of urinary tract infection (UTI) in children. Purpose: This study aimed to compare the diagnostic accuracy of urinary NGAL (uNGAL)...
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Febrile urinary tract infection in children: changes in epidemiology, etiology, and antibiotic resistance patterns over a decade

Suh W, Kim BN, Kang HM, Yang EA, Rhim JW, Lee KY

Background: Understanding the epidemiology and prevalence of febrile urinary tract infection (fUTI) in children is important for risk stratification and selecting appropriate urine sample collection candidates to aid in its...
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A Case of Xanthogranulomatous Pyelonephritis with Nephropleural Fistula Formation: Role of MRI in Diagnosis and Treatment

Lee GY, Moon SK, You MW, Lim JW

Xanthogranulomatous pyelonephritis (XGP) is a rare type of chronic bacterial nephritis, which rarely involves the invasion of adjacent organs or the formation of fistulas due to tissue-destructive granulomatous reactions. Although...
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Risk Factors of Febrile Urinary Tract Infection after Ureteral Reimplantation in Infant

Lee S, Chung JM, Lee SD

Purpose: Children with febrile urinary tract infection (fUTI) and vesicoureteral reflux (VUR) show significant morbidity. Few studies have examined the incidence of fUTI after ureteral reimplantation for congenital urinary tract...
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Emphysematous pyelonephritis associated with calcium oxalate uroliths detected on computed tomography in an awake dog

Kwak HH, Hussein KH, Woo HM, Park KM

An 11-year-old female mixed-breed dog admitted due to anorexia and vomiting. Radiography showed 7.6-mm uroliths in the right proximal ureter and an enlarged kidney. Type 1 emphysematous pyelonephritis (EPN) was...
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Clinical Usefulness of Contrast-Enhanced Computed Tomography in Patients with Non-Obstructive Acute Pyleonephritis

Sun IO, Lim JH, Oh JH, Cho AY, Kim BJ, Lee KY, Lee MS

Objectives: The aim of this study is to investigate the clinical utility of contrast-enhanced computed tomography (CECT) in patient with non-obstrcutive acute pyelonephritis (APN). Methods: From 2007 to 2013, 537 APN...
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Relationship between Breastfeeding, Birth History, and Acute Pyelonephritis in Infants

Lee YJ, Kim KM, Jung HL, Shim JY, Kim DS, Shim JW

BACKGROUND: Although the clinical importance of the immunological benefits of breastfeeding has been emphasized for decades, their direct relationship with acute pyelonephritis (APN) is still not clear. Our goal was...
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Clinical Characteristics and Antimicrobial Susceptibility of Elderly Women with Acute Pyelonephritis

Yun JK, Kim WB, Lee SW, Lee KW, Kim JM, Kim YH

Purpose: Acute pyelonephritis in older patients can lead to a poorer treatment response and prognosis. The objective of this study was to classify older female patients with acute pyelonephritis according...
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The role of the neutrophil-to-lymphocyte ratio for the prediction severity in women with acute pyelonephritis in the emergency department

Song BH, Park SH, So BH, Kim SH, Zhu J, Choi SP, Oh JH

  • KMID: 2511369
  • J Korean Soc Emerg Med.
  • 2020 Dec;31(6):562-569.
Objective: It is difficult to predict medical outcomes for acute pyelonephritis (APN) in women. A delay in diagnosis and treatment results in rapid progression to circulatory collapse, multiple organ failure,...
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Vesicoureteral Reflux and Renal Scarring in Children with Acute Pyelonephritis: the Role of Late 6-month Dimercaptosuccinic Acid Renal Scan

Oh KE, Yim HE, Yoo KH

Purpose: The aim of this study is to evaluate the clinical utility of late 6-month dimercapto-succinic acid (DMSA) renal scan in predicting vesicoureteral reflux (VUR) and long-lasting renal scars in...
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Focal Xanthogranulomatous Pyelonephritis Associated with Xanthogranulomatous Cholecystitis: A Case Report

Cho SM, Kim HK, Lee HK, Lee B, Kim KH, Lee KE, Shim JC, Hwang DH, Lee GJ

Xanthogranulomatous inflammation is a rare inflammatory reaction, characterized by lipid-laden macrophages, known as xanthomas, in histopathologic examination. Aggressive xanthogranulomatous inflammation often manifests as local infiltration but does not affect distant...
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Serum alkaline phosphatase and γ-glutamyl transferase in acute pyelonephritis

Han C, Lee YK, Park HC, Cho A, Choi SR, Yoon JW, Koo JR, Kim HJ, Noh JW, Park MJ

BACKGROUND: Elevated serum alkaline phosphatase (AP) and γ-glutamyl transferase (γ-GT) are commonly observed in patients with acute pyelonephritis. The goal of this study was to examine the clinical significance of...
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A Renal Size Discrepancy among the Findings of Renal Sonogram in Children with Their First Episode of Pyelonephritis is One of the Useful Parameters to Predict the Presence of Cortical Defects on the Acute DMSA Renal Scan

Kwon Y, Jin BK, Rhie S, Lee JH

PURPOSE: We investigated whether a renal size discrepancy on a renal sonogram (US) in children with febrile urinary tract infection (UTI) was correlated with the presence of cortical defects on...
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Quick Sequential (Sepsis related) Organ Failure Assessment: A high performance rapid prognostication tool in patients having acute pyelonephritis with upper urinary tract calculi

Pandey S, Sankhwar S, Goel A, Kumar M, Aggarwal A, Sharma D, Agarwal S, Pandey T

PURPOSE: To analyze the utility of quick Sequential Organ Failure Assessment (qSOFA) in patients with uro-sepsis due to acute pyelonephritis (APN) with upper urinary tract calculi, we conducted this study....
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Comparison of the diagnostic performance of initial serum procalcitonin, lactate, and C-reactive protein for predicting bacteremia in female patients with acute pyelonephritis

Kim B, Jo S, Lee JB, Jin Y, Jeong T, Yoon J, Park B

OBJECTIVE: The purpose of the present study was to compare the diagnostic performance of initial procalcitonin, lactate, and high-sensitive C-reactive protein (hsCRP) for predicting bacteremia in female patients with acute...
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Reconsideration of urine culture for the diagnosis of acute pyelonephritis in children: a new challenging method for diagnosing acute pyelonephritis

Lee JH, Rhie S

Acute pyelonephritis (APN) should be detected and treated as soon as possible to reduce the risk of the development of acquired renal scarring. However, in the medical field, urine culture...
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Is Double J Stenting or Percutaneous Nephrostomy More Suitable for Maximizing the Clinical Effects of Temporary Urinary Diversion for Acute Pyelonephritis with a Complicated Ureteral Stone?

Choi J, Choi T, Lee DG, Min GE, Lee HL, Yoo KH

PURPOSE: This study compared the clinical benefits of double J (DJ) ureteral stenting with percutaneous nephrostomy (PCN) for the management of acute pyelonephritis (APN) with complicated ureteral stones. MATERIALS AND METHODS:...
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Clinical Usefulness of Unenhanced Computed Tomography in Patients with Acute Pyelonephritis

Lee A, Kim HC, Hwang SI, Chin HJ, Na KY, Chae DW, Kim S

BACKGROUND: Unenhanced computed tomography (UCT) may be useful for evaluating acute pyelonephritis; however, no study has compared UCT with enhanced computed tomography (ECT) as a diagnostic tool. We evaluated a...
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The Relationship between Neonatal Circumcision, Urinary Tract Infection, and Health

Eisenberg , Galusha D, Kennedy WA, Cullen MR

The risk-benefit profile of neonatal circumcision is not clear. Most studies have focused on urinary tract infections but other health sequelae have not been evaluated. While evidence supports benefits of...
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