ARCHIVES
VOL. 4, ISSUE 1 (2022)
Evaluation of renal infections by computed tomography in patients attending a tertiary care centre
Authors
Rajesh R V, Gowtham Gowda A G, Abhishek S
Abstract
Background: Acute pyelonephritis (APN) is the most common renal infection. In most cases, infection is confined to the lower urinary tract and the diagnosis is established by clinical or laboratory studies. Imaging is not required in routine cases if the patient is better with treatment. However,when the kidney is involved by inflammatory process or when the precise diagnosis is not known renal imaging plays an important role in diagnosis and management.1 Aims and objectives: 1. To evaluate the CT morphological characteristics of renal infections 2. To study the role of CT in establishing the diagnosis in equivocal cases. 3. To determine the extent of disease process in severe renal and perirenal infections. 4. To evaluate the role of CT in planning and management of renal infections in high risk patients. Materials and Methods: It was a pilot study conducted at KVG Medical College and hospital, Sullia on 50 Patients. Sampling was done by Systematic random sampling technique. Study conducted between Period 1st December 2019 to 31st may 2021. Stastistical analysis: Statistical analysis was performed with Microsoft office excel 2007 & IBM SPPS version 17. Analysed by frequencies, percentages and means. Results: Out of a total 50 patients there were 24 (48%) males and 26 (52%) females.Maximum no. of patients (n= 17) were in the age group 31-40 years.Pyonephrosis (30%) was identified as the most common renal infection in our study followed by acute pyelonephritis (22%).Overall diabetes is the most common predisposing factor. Among 50 cases of renal infections 24 are known Diabetics patients. Among 11 cases of acute pyelonephritis ultrasonography helped in diagnosis 8 cases and in the rest of the 3 cases ultrasonography showed only renomegaly with increased echotexture. Contrast enhanced CT is able to diagnose the rest of 3 cases as focal pyelonephritis by demonstrating non-enhancing focal hypodense lesions. Conclusion: CT is the definitive investigation of choice in all cases of renal infections by establishing the proper diagnosis.
Download
Pages:5-11
How to cite this article:
Rajesh R V, Gowtham Gowda A G, Abhishek S "Evaluation of renal infections by computed tomography in patients attending a tertiary care centre ". International Journal of Medical Science and Clinical Research, Vol 4, Issue 1, 2022, Pages 5-11
Download Author Certificate
Please enter the email address corresponding to this article submission to download your certificate.