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القيمة التشخيصية لنقص صوديوم الدم في حالات التهاب الحويضة و الكلية الحاد عند الأطفال
Other Title(s)
Diagnostic value of hyponatremia in pediatric acute pyelonephritis
Source
مجلة المجلس العربي للاختصاصات الصحية
Issue
Vol. 19, Issue 4 (31 Dec. 2018), pp.34-41, 8 p.
Publisher
The Arab Board of Health Specializations
Publication Date
2018-12-31
Country of Publication
Syria
No. of Pages
8
Main Subjects
Abstract EN
Objective: Is to know the importance of hyponatremia as biological marker in early diagnosis of acute pyelonephritis, and the association between hyponatremia and inflammatory markers.
Methods: The study involves 75 patients with acute pyelonephritis for the first time, whose age between 3-13 year and 75 control patients who have fever without acute pyelonephritis in one year 2013-2014 in Al-Assad Hospital in Latakia, Syria.
Laboratory tests: White blood cell count, C-reactive protein, serum and urine sodium concentration, and urine culture (culture growing >100.000 colonies on clean-catch samples was required to establish diagnosis of pyelonephritis) were determined in both groups.
Radiologic investigations: (renal ultrasonography, VCUG) were performed.
Results: In patients with acute pyelonephritis, the inflammatory markers (white blood cell count, neutrophils count, and C-reactive protein) were significantly higher than in those without pyelonephritis (p<0.001), serum sodium concentration was negatively correlated with WBC count (r=-0.48, p=0.01), absolute neutrophils count (r=-0.25, p=0.01), and CRP (r=-0.40, p=0.01) in patients with acute pyelonephritis.
Serum sodium concentration return to normal value after 48 hours of treatment with antibiotics.
The radiologic investigations were normal.
Conclusions: Our study indicate that hyponatremia may be a substantial «inflammatory» marker, and is significantly correlated with the degree of inflammation in children with acute pyelonephritis.
American Psychological Association (APA)
محمد زاهر وحجازية، خيرية آمين. 2018. القيمة التشخيصية لنقص صوديوم الدم في حالات التهاب الحويضة و الكلية الحاد عند الأطفال. مجلة المجلس العربي للاختصاصات الصحية،مج. 19، ع. 4، ص ص. 34-41.
https://search.emarefa.net/detail/BIM-902476
Modern Language Association (MLA)
محمد زاهر وحجازية، خيرية آمين. القيمة التشخيصية لنقص صوديوم الدم في حالات التهاب الحويضة و الكلية الحاد عند الأطفال. مجلة المجلس العربي للاختصاصات الصحية مج. 19، ع. 4 (2018)، ص ص. 34-41.
https://search.emarefa.net/detail/BIM-902476
American Medical Association (AMA)
محمد زاهر وحجازية، خيرية آمين. القيمة التشخيصية لنقص صوديوم الدم في حالات التهاب الحويضة و الكلية الحاد عند الأطفال. مجلة المجلس العربي للاختصاصات الصحية. 2018. مج. 19، ع. 4، ص ص. 34-41.
https://search.emarefa.net/detail/BIM-902476
Data Type
Journal Articles
Language
Arabic
Notes
يتضمن مراجع ببليوجرافية : ص. 41
Record ID
BIM-902476