CT and sonography of severe renal and perirenal infections

Journal Article · Tue Mar 01 04:00:00 EST 1983 · AJR, Am. J. Roentgenol.; (United States)

DOI:https://doi.org/10.2214/ajr.140.3.517· OSTI ID:5430631

Hoddick, W ^[1]; Jeffrey, R B; Goldberg, H I; Federle, M P; Laing, F C

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1. Univ. of California, San Francisco

Twelve patients with urosepsis and severe renal or perirenal infections were evaluated with both computed tomography (CT) and sonograhy. Six patients had nine proven renal or perirenal abscesses larger than 2 cm in diameter. One patient had multiple microabscesses smaller than 1 cm. Five patients had CT or sonographic evidence of focal or multifocal bacterial nephritis. Computed tomography correctly diagnosed all renal (six) and perirenal (three) abscesses. Sonography was falsely negative in a patient with multiple microabscesses and in another patient with a gas-forming perinephric abscess. In one patient with four bilateral renal abscesses, sonography correctly diagnosed only one of the abscesses. In the five patients with focal or multifocal bacterial nephritis, CT demonstrated poorly defined, poorly enhancing lesions in all cases. Sonography was normal in three of these patients. Although this report is based on a limited experience, computed tomography seems to be the more sensitive method of evaluating severe renal and perirenal infections.

• OSTI ID: 5430631
• Journal Information: AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 140:3; ISSN AAJRD
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
550900 -- Pathology
59 BASIC BIOLOGICAL SCIENCES
62 RADIOLOGY AND NUCLEAR MEDICINE
ABSCESSES
BACTERIA
BODY
CANDIDA
COMPARATIVE EVALUATIONS
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
FUNGI
INFECTIOUS DISEASES
KIDNEYS
MICROORGANISMS
NEPHRITIS
ORGANS
PATHOLOGICAL CHANGES
PATHOLOGY
PATIENTS
PLANTS
STAPHYLOCOCCUS
TOMOGRAPHY
ULTRASONOGRAPHY
UROGENITAL SYSTEM DISEASES
YEASTS