Early dimercaptosuccinic acid renal scan in children with first febrile urinary tract infection.
OBJECTIVE
To determine use of early Tc-99m dimercaptosuccinic acid scintigraphy in screening for vesicoureteral reflux following first febrile urinary tract infection.


METHODS
43 children (1 mo-5 yr) with first febrile urinary tract infection underwent micturating cystourethrography, abdominal sonogram and early dimercaptosuccinic acid scintigraphy.


RESULTS
Early dimercaptosuccinic acid scintigraphy had 72% sensitivity and 76% specificity for vesicoureteral reflux. For dilating vesicoureteral reflux, sensitivity and specificity were 100% and 75%, respectively.


CONCLUSIONS
Early dimercaptosuccinic acid scintigraphy has the potential to replace micturating cystourethrography in initial evaluation of febrile urinary tract infection.
Departments of Pediatrics and *Nuclear Medicine, G Kuppuswamy Naidu Memorial Hospital, Coimbatore, India. Correspodence to: Dr Umamageswari K, G Kuppuswamy Naidu Memorial Hospital, P N Palayam, Coimbatore. dr.uma104@gmail.com.
K
K
Umamageswari
B Antony
BA
Terance
N
N
Anirudhan
D002675:Child, Preschool; D005334:Fever; D006801:Humans; D007223:Infant; D007668:Kidney / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012680:Sensitivity and Specificity; D004113:Succimer; D014552:Urinary Tract Infections / Q000000981:diagnostic imaging*; D014718:Vesico-Ureteral Reflux
D004113:Succimer