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    Acute pyelonephritis. Renal static scintigraphy

    Teaching Case

    Case presentation:

    • Male.
    • 7 y.o.
    • Fever.
    • Positive urine culture.
    • Normal B-mode ultrasound.
    • Power-Doppler US: decreased vascular signal in the right upper pole.
    • DMSA scan.

    Teaching points:

    • Normal B-mode ultrasound cannot rule out renal damage.
    • DRC: higher sensitivity than VCUG and than IRC.
    • Normal IRC cannot rule out reflux.
    • Repeated APN, with high incidence os renal cortical scars, are not rare.

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