Martini R, Sierro A, Torres V
Bol Med Hosp Infant Mex. 1979 Mar-Apr;36(2):307-17.
Fifty cases with pyelonephritis were found among 1314 histopathologic studies performed at Children's Hospital of Cordoba, Argentine from 1967 to 1976. Twenty-six had urologic abnormalities. Most of them were males over two years old. Eleven had unilateral pyelonephritis. Twenty-four had clinical and pathological signs of septicemia or infection. No sex difference was found and most of them were infants under two years of age. All patients had bilateral pyelonephritis. Twenty-four patients showed positive urine culture before death. They also showed clinical features, urinary concentration inability and pyelographic changes that suggest pyelonephritis. Our conclusions are that pyelonephritis is not common among children, and appeares only associated with systemic infection or urologic abnormalities. Clinical signs, urinary examination and intravenous pyelography are useful in the diagnosis of pyelonephritis.
1967年至1976年期间，在阿根廷科尔多瓦儿童医院进行的1314例组织病理学研究中发现了50例肾盂肾炎病例。其中26例存在泌尿系统异常。大多数为两岁以上男性。11例为单侧肾盂肾炎。24例有败血症或感染的临床及病理体征。未发现性别差异，且大多数为两岁以下婴儿。所有患者均为双侧肾盂肾炎。24例患者在死亡前尿培养呈阳性。他们还表现出提示肾盂肾炎的临床特征、尿浓缩功能障碍及肾盂造影改变。我们的结论是，肾盂肾炎在儿童中并不常见，仅与全身感染或泌尿系统异常相关。临床体征、尿液检查及静脉肾盂造影对肾盂肾炎的诊断有用。
