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KMID : 0367419760170040006
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Journal of Korean Pediatric Society
1976 Volume.17 No. 4 p.6 ~ p.13
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Clinical Studies of Urinary Tract Infections in Infant and Children
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박관호/Park, Kwan Ho
김병길/윤덕진/Kim, Pyung Kil/Yun, Duk Jin
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Abstract
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Clinical studies on the 40 cases of urinary tract infections who were admitted to the pediatric department of Severance Hospital from Jan. 1964 to Dec. 1973, were subjected in this study. The results were as follows:
1) Among the 40cases, 26 cases(65%) were male and 14 cases (35%) were female.
2) Age incidence showed 7 to 12 years to be most commonly affect-ad and 8 cases (20%) in
finale and 5 cases (12.5%) in female in this age group.. The vongest patient was 11 days-old.
3) Fever was the most common chief complaints and abdominal pain, hematuria, dysuria, frequency, nausea and vomiting were next common.
4) Hematological and urinary examinations disclosed low hemoglobin in 15%, leucocytosis in
55% and high red Blood cells in urine 70% and high white Blood cells in urine 75%.
5) LV.P. findings which was examined in 10 cases were showed only 4 abnormal cases.
6) Cystocopic findings which was examined in 5 cases were showed acute cystitis in 1 acute
hemorrhagic cystitis in 1 and 3 of tuberculous cystitis.
7) E. Coli was the most prominent strain, as the result of sensitive test, Kanamvcin was the most sensitive urug to the E. Coli (50%).
) Upper respiratory infection in 5 cases (12.5%) were the most commor predisposing factor and pulmonary tuberculosis in 3 cases (7.5%) were next common.
9) Complications showed septicemia in 2 cases(5%), bilateral tuberculous epididymitis in 1 (2. 5%), chronic uremia in 1 (2- 5%)> and ureteral dilatation in 1 case (2. 5%).
10) Abdominal distention (22.5%) was the most common in physical examination, puffy face (15%) hepatomegaly (12.5%) were next common.
11) There were hydronephrosis, hydroureter, horseshoe kidney, hypospadia, epispadia as (ombined anomalies in_each case in the urogenital tract.
12) Operative treatments showed incision &- drainage in 1 case for renal carbuncle and nephrectomy in 4 cases for renal tuberculosis.
13) Results on discharge were that 2 recovered .´cases (5%), 30 improved cases (75%), 6 no improvement cases (15%) and 2 expired (5%).
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