Clinical Studies in Acute Pyelonephritis: Is there a Place for Renal Quantitative Camera Study?

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Abstract
Patients (27) were evaluated with presumed acute pyelonephritis. The clinical criteria included flank pain, fever, bacteriuria and leukocytosis. When compared to excretory urograms renal scintillation camera studies confirmed the diagnosis in 19 patients, including 5 with normal excretory urograms, and disproved it in the remaining 8. This radionuclide study was more precise; if results are normal the diagnosis of pyelonephritis is excluded and further studies are not needed.