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Journal of the Korean Society of Pediatric Nephrology 1999;3(2): 180-186.
요로감염증과 연관된 방광요관역류 이외의 선천성 요로계 이상에 관한 고찰
정소희, 김정심, 김현정, 이미나, 엄미령, 진동규, 신화숙
1삼성서울병원 소아과
2삼성서울병원 소아과
3성균관대학교 의과대학 삼성제일병원 소아과
4성균관대학교 의과대학 삼성제일병원 소아과
5성균관대학교 의과대학 삼성제일병원 소아과
6삼성서울병원 소아과
7성균관대학교 의과대학 삼성제일병원 소아과
Congenital Urinary Tract Anomalies Associated with Urinary Tract Infection in Infants and Children
So-Hee Chung, Jung-Sim Kim, Hyun-Jung Kim, Mi-Na Lee, Mee-Ryung Uhm, Dong-Kyu Jin, Hwa-Sook Shin
1Samsung Seoul Hospital College of Medicine
2Samsung Seoul Hospital College of Medicine
3Department of Pediatrics, Sung Kyun Kwan University, Samsung Cheil Hospital, College of Medicine
4Department of Pediatrics, Sung Kyun Kwan University, Samsung Cheil Hospital, College of Medicine
5Department of Pediatrics, Sung Kyun Kwan University, Samsung Cheil Hospital, College of Medicine
6Samsung Seoul Hospital College of Medicine
7Department of Pediatrics, Sung Kyun Kwan University, Samsung Cheil Hospital, College of Medicine
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ABSTRACT
Purpose : It has been well known that urinary tract infection(UTI) in infants and children is frequently associated with vesicoureteral reflux(VUR). However, the publishied papers dealing with congenital anomalies associated with UTI emphasized the importance of VUR only. The aim of our study was to evaluate the type, incidence and spectrum of urologic anomalies associated with UTI.
Methods : Medical records of clinical, bacteriologic and radiologic study were assessed retrospectively in 65 infants or children with documented UTI who were admitted to the Department of Pediatrics, Samsung Seoul Hospital from March 1996 to February 1998.
Results : Spectrum of anomalies were associated with UTI as follows: VUR(n=23), both ectopic kidney(n=1), ureterovesical junction(UVJ) obstruction(n=1), multicystic dysplastic kidney(n=1), ureteropelvic junction(UPJ) obstruction with hydronephrosis(n=1), hutch diverticulum(n=1), UPJ stenosis(n=1), posterior urethral valve(n=1), urachal remnant(n=1) and bladder diverticula(n=1). Congenital urinary anomalies other than VUR were detected in 9 children among 65 patients with UTI(13.8%). 4 children among 9 congenital urinary anomalies other than VUR were combined with VUR. Sex distribution with congenital urinary anomalies other than VUR was more prevalent in male than female (7 males : 2 females). Age distribution at the time of UTI was less than 5 years in most patient (under 1 year in 1 patient, 1-2 year in 5 patients, 3-5 year in 1 patient, and above 5 year in 2 patients). And age distribution at the time of UTl associated with VUR was less than 5 years in most patient (under 1 year in 6 patients, 1-2 year in 8 patients, 3-5 year in 5 patients, and above 5 year in 4 patients), too
Conclusion : Because congenital urinary anomalies other than VUR are seen in as high as 13.8% of patients, more careful evaluation of all possible congenital urinary anomalies as well as VUR is mandatory in pediatric patient with UTI.
Key words: Congenital Urinary Tract Anomaly | Urinary Tract Infection Except Vesicoureteral Reflux
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