Recurrent APN & VUR Therapy
Boy, as newborn in april 2010 first APN episode. Rx cystography revealed GIV VUR. January 2011 new APN demonstrated with DMSA scan in the left kidney, treated adequately. Follow up scan showed small left kidney with no focal defects and normal right organ. May 2011 new APN again in the left kidney in the hilum and poles. Therapy with antibiotics and recovery. Underwent surgery to treat VUR with neo-VU-implant. Last DMSA scan depicted similar smaller size and no focal abnormalities. Several urine cultures negative.
References:
1 Rossleigh MA. Renal infection and vesico-ureteric reflux.Semin Nucl Med. 2007 Jul;37(4):261-8.
2 Grbac-Ivanković S, Smokvina A, Girotto N, Licul V. Initial presentation of scintigraphic changes during the first episode of acute pyelonephritis in children: simultaneous evaluation with MAG3 and DMSA. Nuklearmedizin. 2007;46(4):129-34.