PMID- 15245717
OWN - NLM
STAT- Publisher
LR  - 20191120
IS  - 1879-0828 (Electronic)
IS  - 0953-6205 (Linking)
VI  - 15
IP  - 3
DP  - 2004 Jun
TI  - Accurate topographical diagnosis of urinary tract infection in male patients with 
      (111)indium-labelled leukocyte scintigraphy.
PG  - 157-161
AB  - Background: Although the clinical diagnosis of urinary tract infection (UTI) is 
      straightforward, the precise localization of the urogenital organ affected by the 
      infection is often difficult to establish. Methods: To evaluate this, we 
      prospectively studied 20 males with a clinical diagnosis of acute pyelonephritis 
      (APN), acute prostatitis (AP) and febrile UTI (FUTI), as well as seven control 
      females with APN. (111)Indium-labelled leukocyte scintigraphy (ILS) was performed 
      during the febrile episode and repeated when patients were free of symptoms. 
      Results: ILS showed an abnormal uptake in a urinary organ in every case. All 
      patients with AP showed uptake in the pelvic area. Four male patients presented 
      AP, one of them had uptake in the lumbar area, one in the lumbar and pelvic area, 
      and two in the area of the prostate only. Six out of seven patients with FUTI 
      presented uptake in the pelvic area. All female patients showed kidney uptake. 
      After the clinical resolution of the UTI, no residual uptake was found in any 
      case except for one. Conclusions: These results suggest that ILS is very useful 
      in localizing the affected organ in febrile UTI. Most male patients with a 
      febrile UTI presented a prostatic involvement, suggesting that many cases of APN 
      or FUTI in males may actually be cases of AP not recognized by standard clinical 
      evaluation.
FAU - Velasco, M
AU  - Velasco M
AD  - Instituto Clinico de Enfermedades Infecciosas y Sistemicas, Barcelona, Spain.
FAU - Mateos, JJ
AU  - Mateos JJ
FAU - Martinez, JA
AU  - Martinez JA
FAU - Moreno-Martinez, A
AU  - Moreno-Martinez A
FAU - Horcajada, JP
AU  - Horcajada JP
FAU - Barranco, M
AU  - Barranco M
FAU - Lomena, F
AU  - Lomena F
FAU - Mensa, J
AU  - Mensa J
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Eur J Intern Med
JT  - European journal of internal medicine
JID - 9003220
EDAT- 2004/07/13 05:00
MHDA- 2004/07/13 05:00
CRDT- 2004/07/13 05:00
PHST- 2003/04/14 00:00 [received]
PHST- 2003/12/29 00:00 [revised]
PHST- 2004/01/23 00:00 [accepted]
PHST- 2004/07/13 05:00 [pubmed]
PHST- 2004/07/13 05:00 [medline]
PHST- 2004/07/13 05:00 [entrez]
AID - S0953620504000792 [pii]
AID - 10.1016/j.ejim.2004.01.020 [doi]
PST - ppublish
SO  - Eur J Intern Med. 2004 Jun;15(3):157-161. doi: 10.1016/j.ejim.2004.01.020.