Serum C-reactive protein and the site of urinary tract infections

Elevated serum levels of C-reactive protein have been found regularly in girls with acute clinical pyelonephritis but only infrequently in those with clinical cystitis. Based on these data, the suggestion has been made that elevated serum CRP concentrations may be useful in identifying patients with...

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Veröffentlicht in:The Journal of pediatrics 1982, Vol.100 (1), p.21-25
Hauptverfasser: Hellerstein, Stanley, Duggan, Eileen, Welchert, Eleanor, Mansour, Fayzeh
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container_title The Journal of pediatrics
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creator Hellerstein, Stanley
Duggan, Eileen
Welchert, Eleanor
Mansour, Fayzeh
description Elevated serum levels of C-reactive protein have been found regularly in girls with acute clinical pyelonephritis but only infrequently in those with clinical cystitis. Based on these data, the suggestion has been made that elevated serum CRP concentrations may be useful in identifying patients with upper urinary tract infections. In a study in which the bladder washout test was used to localize the site of urinary tract infections, we identified nine girls with renal bacteriuria who did not have clinical findings suggesting acute pyelonephritis; four of these girls had serum CRP concentrations 30 μg/ml. These studies show that an elevated serum CRP concentration is not accurate in localizing the site of a urinary tract infection in girls who do not have clinical signs of acute pyelonephritis.
doi_str_mv 10.1016/S0022-3476(82)80229-1
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Based on these data, the suggestion has been made that elevated serum CRP concentrations may be useful in identifying patients with upper urinary tract infections. In a study in which the bladder washout test was used to localize the site of urinary tract infections, we identified nine girls with renal bacteriuria who did not have clinical findings suggesting acute pyelonephritis; four of these girls had serum CRP concentrations &lt;10 μg/ml. Twentyeight girls had bladder washout-proven lower urinary tract infections; three of these had serum CRP values &gt;30 μg/ml. 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subjects Adolescent
Bacteriuria - diagnosis
C-Reactive Protein - analysis
Child
Child, Preschool
Cystitis - diagnosis
Female
Humans
Pyelonephritis - diagnosis
Urinary Tract Infections - diagnosis
title Serum C-reactive protein and the site of urinary tract infections
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