scholarly journals Renal Dysplasia in a Free-Living Giant Anteater Cub (Myrmecophaga tridactyla) - Ultrasonographic and Tomographic Aspects

2021 ◽  
Vol 49 ◽  
Author(s):  
Lorena Tavares de Brito Neri Jaworski ◽  
Jullia De Pinho Borba ◽  
Bianca Costa Rezende ◽  
Jéssica Martins Lopes ◽  
Thais Oliveira Morgado ◽  
...  
Keyword(s):  
Contrast Medium ◽  
Left Kidney ◽  
Renal Dysplasia ◽  
Renal Parenchyma ◽  
Renal Volume ◽  
Free Living ◽  
Renal Hypoplasia ◽  
Mato Grosso ◽  
The Right ◽  
Collecting System

Background: Renal dysplasia is a congenital disorder that occurs during differentiation of the renal parenchyma or as a consequence of a functional and/or structural obstruction of the lower urinary tract. In wild animals, this pathology has been reported in cynomolgus monkeys (Macaca fascicularis), golden hamsters (Mesocricetus auratus) and African elephants (Loxodanta africana). However, there are no reports of the disease in the giant anteater (Myrmecophaga tridactyla). Thus, this paper describes a case of renal dysplasia in a free-living giant anteater cub, which was sent to the wild animal clinic of the Federal University of Mato Grosso (UFMT) in Cuiabá, MT, Brazil. Case: The rescued animal had a good body condition score and clinical parameters within the normal range for the species. After a routine clinical evaluation, the anteater cub was subjected to radiography and ultrasound tests. Blood tests, serum tests for hepatic and renal profiles, urinalysis, urinary protein creatinine ratio, and chest X-rays did not reveal significant changes. However, the abdominal ultrasound examination revealed a volumetric loss of about 1.17 cm in length in the left kidney, and a renal length to aortic artery diameter ratio of approximately 2.8. This kidney showed irregular contours, loss of corticomedullary demarcation, with preserved echogenicity and cortical echotexture. The right kidney showed the standard size of the species, with a length of approximately 3.08 cm. In view of the suspicion of renal dysplasia, a contrast-enhanced CT scan was performed in order to assess the dynamics of uptake and excretion of the contrast medium in the affected kidney and in the ipsilateral collecting system.  An examination of the tomographic images indicated that the volume of the left kidney was reduced, isodense in relation to the right kidney, with discrete and homogeneous uptake in all phases after administration of the contrast medium, no occurrence of nephrogram and pyelogram phases, or any detection of contrast in the corresponding ureter.Discussion: Giant anteaters (Myrmecophaga tridactyla) are animals classified as a species vulnerable to extinction. Today, most research involving this species focuses on its ecology, behavior, diet, morphology and parasitology, but little is known about the imaging aspects of the species or about congenital changes such as renal dysplasia. Although the definitive diagnosis of this pathology depends on a histopathological examination, the same diagnosis can be made with a wide margin of safety by assessing the epidemiological aspects and the dynamics of renal uptake of the contrast medium through computed tomography. In this analysis, both vascularization and renal filtration capacity can be assessed. Thus, based on CT imaging, it was concluded that this was a case of renal dysplasia, since the left kidney showed a discrete homogeneous uptake stable in both the arterial and venous phases, without producing any accumulation of contrast medium in the pelvic region or the collecting system, proving to be completely nonfunctional. These findings differ from cases of renal hypoplasia, which, although they reduce renal volume, do not cause structural changes in the renal parenchyma or disturbances in the filtration dynamics of contrast media. They also differ from cases of acquired chronic nephropathy, since, albeit associated with reduced renal volume and changes in renal filtration dynamics, they produce different parenchymal ultrasound changes that usually occur in elderly animals and generally produce bilateral lesions.

scholarly journals Parasitism by Dioctophyma renale in a Dog: Clinical and Surgical Aspects

2019 ◽  
Vol 47 ◽  
Author(s):  
Fábio Dumit Pizzinatto ◽  
Nathália Freschi ◽  
Dábila Araújo Sônego ◽  
Matias Bassinello Stocco ◽  
Nathalie Moro Bassil Dower ◽  
...  
Keyword(s):  
Left Kidney ◽  
Abdominal Cavity ◽  
Parasitic Infection ◽  
Clinical Signs ◽  
Renal Parenchyma ◽  
The Other ◽  
Compensatory Mechanism ◽  
Mato Grosso ◽  
X Ray ◽  
The Right

Background: Dioctophimosis is a parasitic disease caused by Dioctophyma renale, more commonly known as "giant Kidney worm," and can be found in other organs or free in the abdominal cavity, which is related to the patient's eating habits. Most of the animals affected are asymptomatic. The diagnosis is made through ultrasonography, finding eggs of the parasite in the urine, or necropsy. The treatment of choice is nephrectomy of the affected kidney. We aimed to report the accidental diagnosis of parasitism by D. renale in an 8-year-old dog, which was surgically treated by nephrectomy of the right kidney after evident destruction of the renal parenchyma on ultrasonography.Case: An 8-year-old Boxer female dog underwent a physical examination and showed a mass in the region of the left caudal thoracic breast, bilateral alopecia on flanks, and purulent ocular secretions. Laboratory tests of complete blood count (CBC) and serum biochemical profile, X-ray examination, and ultrasonography were requested. Anemia was observed on the erythrogram, and enzymes (creatinine, urea, alanine aminotransferase [ALT], and albumin) were within normal limits. There were no abnormalities on X-ray examination, and abdominal ultrasonography showed slight splenomegaly, enlarged left kidney, reduced corticomedullary region, measuring approximately 7.63 cm longitudinally. In the right kidney, loss of the renal parenchyma, measuring approximately 5.49 cm in diameter and the presence of a cylindrical and rounded structure, typical of D. renale infection. After this, a urinalysis was suggested, which revealed the presence of the helminthic eggs, confirming the diagnosis. The owner was informed about the need for nephrectomy of the affected kidney as treatment. The kidney showed destruction of the renal parenchyma. A single parasite was removed, measuring approximately 46 cm in length. The patient was successfully treated and was hospitalized for 4 days for observation and evaluation of function of the contralateral kidney.Discussion: The parasitic infection of the animal was due to the ingestion of fish contaminated by the aquatic anelid Lumbriculus variegatus, and the reported patient had access to home-cooked food and ingested water near the farm. D. renale is the largest nematode capable of parasitizing the kidney, reaching up to 100 cm in length, and was 46 cm long in the present case. Usually, when there is unilateral involvement, the vast majority of parasitized animals do not present clinical signs or show nonspecific signs such as hematuria and apathy, or as observed in the present case, the patient is asymptomatic. The diagnosis often occurs through ultrasonography and urine tests, which are considered essential to diagnose the parasite, but the diagnosis is often made on necropsy. Due to its proximity to the duodenum, the parasite is usually found in the right kidney, and it may be found in other organs as well. In the present case, the parasite was found in the right kidney of the patient. Usually, hypertrophy of the contralateral kidney (7.86 cm in this case) is observed on ultrasonography, which is a compensatory mechanism for the lack of normal function of the affected kidney of the affected kidney. The case occurred in the state of Mato Grosso, where there are no records of parasitism by D. renale in domestic dogs, compared with other states. Since the parasite usually affects the kidney, the treatment of choice is nephrectomy, especially if the other kidney can compensate for the absence of the other kidney, a technique that proved to be effective with excellent prognosis in the patient described.

scholarly journals Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Natasha Brown ◽  
Paul Petersen ◽  
David Kinas ◽  
Mark Newberry
Keyword(s):  
Emergency Department ◽  
Point Of Care ◽  
Left Kidney ◽  
Severe Infection ◽  
Renal Parenchyma ◽  
Surrounding Tissue ◽  
Dependent Diabetes Mellitus ◽  
Point Of Care Ultrasound ◽  
Emphysematous Pyelonephritis ◽  
Collecting System

Emphysematous pyelonephritis (EPN) is a rare form of pyelonephritis causing a severe infection of the renal system that includes gas in the renal parenchyma, collecting system and surrounding tissue often presenting with sepsis. We report the case of a 60-year-old male with poorly controlled insulin dependent diabetes mellitus who presented with abdominal pain, nausea, vomiting, and “peeing air.” CT scan revealed air extending from the left renal parenchyma, perinephric fat and into the bladder, consistent with emphysematous pyelonephritis. Bedside point-of-care ultrasound (POCUS) subsequently revealed dirty shadowing and reverberation artifacts in the left kidney and the bladder consistent with gas in the urinary collecting system. By understanding the identifying artifacts seen with EPN, reflective shadow and reverberation artifact, the emergency physician may be alerted to the diagnosis sooner. Often this illness presents similarly to simple, acute pyelonephritis or undifferentiated sepsis. Therefore, POCUS allows for real time consideration of this condition while in the emergency department and thus prompter time to treatment.

scholarly journals Nephrectomy in an Australian Cattle Dog Parasitized by Dioctophyma renale

2018 ◽  
Vol 46 ◽  
pp. 6
Author(s):  
Sayonara Da Luz Ferro ◽  
Fernanda Jönck ◽  
Ewerton Cardoso ◽  
Marta Cristina Thomas Heckler ◽  
Mateus Rychescki ◽  
...  
Keyword(s):  
Dietary Habits ◽  
Present Report ◽  
Left Kidney ◽  
Abdominal Cavity ◽  
Great Majority ◽  
Renal Parenchyma ◽  
Histopathological Analysis ◽  
Free Access ◽  
Abdominal Ultrasonography ◽  
The Right

Background: Dioctophyma renale is a globally occurring nematode that parasites the kidneys, and to a lesser extent, can be found in other organs or free in the abdominal cavity. Has the capacity to destroy the renal parenchyma. For the most part, parasitized animals are asymptomatic. The diagnosis is made through urinalysis and ultrasonography. However most the cases are diagnosed only at necropsy. As treatment nephrectomy of the affected kidney is the technique of choice. Therefore, the aim of this work was to report the case of a dog, seven months old, treated surgically by nephrectomy of the right kidney due to the destruction of the renal parenchyma caused by D. renale.Case: A 7-month-old Australian Cattle Dog, with a history of hematuria, was attended in a Florianópolis Veterinary Hospital. At the physical examination of the patient, no change was found, being extremely active. Abdominal ultrasonography, urinalysis, CBC and biochemical profile were requested. Abdominal ultrasonography showed the presence of cylindricaland rounded structures, with a hyperechogenic wall and a hypoechogenic center, compatible with D. renale, located in the right kidney. Urinalysis revealed the presence of D. renale eggs. The erythrogram showed mild anemia and the leukogram showed neutrophilic leukocytosis. Calcium, creatinine, alkaline phosphatase, phosphorus, alanine aminotransferase and urea dosages showed values within normal limits. As treatment, nephrectomy of the right kidney was performed by laparotomy. The kidney was presented with destruction of the renal parenchyma and a single parasite was removed from its interior, measuring 54 cm in length. Histopathological analysis of the affected kidney revealed diffuse pronounced fibrous connective tissue proliferation, increased urinary space with decreased glomerular tuft and increased glomerular to tubule ratio. The nephrectomy was curative and ceased the patient’s hematuria.Discussion: Parasitism by D. renale is closely related to the dietary habits of the patient, since contamination of the animals occurs through the ingestion of fish contaminated by the aquatic annelid Lumbriculus variegates. The reported patient had free access to the beach, where he was frequently used to eat fish. D. renale is popularly known as the giant kidney worm as it can reach up to 100 cm in length. In the present report the parasite was 54 cm long. The great majority of the parasitized animals are asymptomatic or present pictures of haematuria, dysuria and abdominal pain. However, only the hematuria was observed at the present report. Ultrasound examination and urinalysis confirmed the diagnosis, and these tests were adequate to diagnose parasitism by D. renale. The helminth was found in the right kidney, and especially in dogs, the parasite is mainly located in the right kidney, due to its proximity to the duodenum. Abdominal ultrasonography showed the left kidney measuring 7.08 cm in diameter, which justified the compensatory activity of the same. The patient presented parasitism with only seven months of life, which indicates that the ingestion of the infecting stage of the parasite may have occurred at four months of age or less, since the pre patent period is approximately 155 days, and the cycle has a slow evolution. In cases of only one affected kidney, the recommended surgical treatment is nephrectomy, and this procedure was performed in this patient, which showed excellent results.Keywords: canine dioctophymosis, parasite, surgery.

scholarly journals Ultrasonographic study and Doppler flow velocimetry of maternal kidneys and liver in low-risk pregnancy

2015 ◽  
Vol 48 (3) ◽  
pp. 135-142 ◽  
Author(s):  
Cibele Helena Daher ◽  
Andrea Cavalanti Gomes ◽  
Sergio Kobayashi ◽  
Giovanni Guido Cerri ◽  
Maria Cristina Chammas
Keyword(s):  
Portal Vein ◽  
Left Kidney ◽  
Renal Volume ◽  
Portal Vein Flow ◽  
Risk Pregnancy ◽  
Low Risk Pregnancy ◽  
The Right ◽  
Segmental Arteries ◽  
Waveform Pattern ◽  
Right Hepatic Vein

Abstract Objective: Longitudinal study with B-mode ultrasonography and Doppler ultrasonography of maternal kidneys and liver in low-risk pregnancy, to establish and quantify normality parameters, correlating them with physiological changes. Materials and Methods: Twenty-five pregnant women were assessed and selected to participate in the study, each of them undergoing four examinations at the first, second, third trimesters and postpartum. Results: Findings during pregnancy were the following: increased renal volume, pyelocaliceal dilatation with incidence of 45.4% in the right kidney, and 9% in the left kidney; nephrolithiasis, 18.1% in the right kidney, 13.6% in the left kidney. With pyelocaliceal dilatation, mean values for resistivity index were: 0.68 for renal arteries; 0.66 for segmental arteries; 0.64 for interlobar arteries; 0.64 for arcuate arteries. Without pyelocaliceal dilatation, 0.67 for renal arteries; 0.64 for segmental arteries; 0.63 for interlobar arteries; and 0.61 for arcuate arteries. Portal vein flow velocities presented higher values in pregnancy, with mean value for maximum velocity of 28.9 cm/s, and 22.6 cm/s postpartum. The waveform pattern of the right hepatic vein presented changes persisting in the postpartum period in 31.8% of the patients. Cholelithiasis was observed in 18.1% of the patients. Conclusion: Alterations in renal volume, pyelocaliceal dilatation, nephrolithiasis, cholelithiasis, changes in portal vein flow velocity, alterations in waveform pattern of the right hepatic vein, proved to be significant.

How reliable is renal ultrasound to measure renal length and volume in patients with chronic kidney disease compared with magnetic resonance imaging?

2019 ◽  
Vol 61 (1) ◽  
pp. 117-127 ◽  
Author(s):  
Philippe Braconnier ◽  
Maciej Piskunowicz ◽  
Nima Vakilzadeh ◽  
Marie-Eve Müller ◽  
Emilie Zürcher ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Chronic Kidney Disease ◽  
Magnetic Resonance ◽  
Kidney Disease ◽  
Left Kidney ◽  
Renal Volume ◽  
Resonance Imaging ◽  
The Right ◽  
Parenchymal Thickness ◽  
Renal Length

Background Renal length, volume, and parenchymal thickness are important clinical parameters, yet data concerning the accuracy and reproducibility of ultrasound (US)-based renal length and volume assessment in patients with chronic kidney disease (CKD) are scarce. Purpose To establish whether renal length, volume, and parenchymal thickness can be reliably measured with renal US in patients with CKD. Material and Methods All participants underwent renal US, immediately followed by 3-T magnetic resonance imaging (MRI). Renal length, width, transverse diameter, and parenchyma thickness were measured with both methods; renal volume was calculated using the ellipsoid formula. A total of 45 patients with CKD (eGFR [mean ± SD] 57.4 ± 4.4 mL/min/1.73 m2) and 46 participants without CKD (eGFR 97.0 ± 2.4 mL/min/1.73 m2) were included. Results US-measured renal length correlated strongly with MRI-measured renal length in no-CKD patients (Spearman’s r = 0.83 and 0.85 for the right and left kidney, respectively; P < 0.005) and CKD patients (r = 0.89 and 0.92 for the right and left kidney, respectively; P < 0.005). There was a significant but weaker correlation between MRI- and US-measured right and left renal volume (r = 0.72, P < 0.005) in no-CKD (r = 0.74 and r = 0.72, respectively; for both: P < 0.005) and CKD patients (r = 0.83 and 0.85, P < 0.005). Weak to moderate correlations were found for parenchyma thickness for the right (CKD group: r = 0.29, no-CKD: r = 0.23; for both: P < 0.05) and left kidney (CKD: r = 0.52, no-CKD group: r = 0.37, P < 0.05). Both intra-observer (Pearson’s correlations of 0.82 for the right and 0.89 for the left kidney) and inter-observer (Lin’s correlation coefficient of 0.90 for the right and 0.82 for the left kidney) reproducibility of US-assessed renal length was high. Conclusions US-based assessment of renal length in CKD patients is comparable to MRI measures. Both intra- and inter-observer reproducibility of US-assessed renal length in CKD patients are high. Measurements of US renal volume and parenchymal thickness should, however, be interpreted with caution.

scholarly journals Symptomatic Infundibulopelvic Dysgenesis in an Adolescent

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Daniel Pitts ◽  
David Chalmers ◽  
Brian Jumper
Keyword(s):  
Complete Resolution ◽  
Left Kidney ◽  
Rare Condition ◽  
Renal Calculi ◽  
Flank Pain ◽  
Pelvicalyceal System ◽  
Retrograde Pyelogram ◽  
History Of ◽  
The Right ◽  
Collecting System

Infundibulopelvic dysgenesis is a rare condition characterized by congenital malformation of the pelvicalyceal system. We present the case of an 18-year-old boy with chronic intermittent right flank pain and cystic dilation with parenchymal thinning on ultrasonography. The left kidney was normal. The patient denied dysuria, constipation, and history of UTIs or renal calculi. Cystoscopy with retrograde pyelogram showed marked stenosis of the right pelvicalyceal system and anatomy unfavorable to stenting. The patient’s symptoms were unresponsive to conservative management. Reconstruction of the right collecting system was unsuccessful and a simple nephrectomy was performed, which led to complete resolution of his symptoms.

scholarly journals Evaluation of ultrasonic renal volume in relation to body size in patients with hypertension: Comparative cross-sectional study

2020 ◽  
Author(s):  
Elias Kedir ◽  
Melkamu Berhane ◽  
Tilahun Alemayehu Nigatu ◽  
Almaz Ayalew ◽  
Mesfin Zewdu
Keyword(s):  
Body Size ◽  
Left Kidney ◽  
Cross Sectional Study ◽  
Control Group ◽  
Renal Volume ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Hypertensive Group ◽  
The Right

Abstract Introduction Estimation of renal size is useful parameter in the diagnosis of abnormal structural change on the kidneys due to the adverse effects of chronic diseases like hypertension. This study evaluated renal volume by ultrasound in relation to body size parameters, notably BMI and body surface area in hypertensive and non-hypertensive individuals. Methods A hospital-based comparative cross-sectional study was conducted from February to September 2018 at the Radiology department of the Jimma University Medical Center (JUMC). The study included consecutively selected samples of ambulatory hypertensive patients and non-hypertensive controls recruited consecutively on voluntary basis. After providing verbal informed consent, each subject underwent abdominal ultrasound examination; length, width and thickness of both kidneys were measured and used for estimation of renal volume. The statistical evaluation included independent samples t-tests for mean differences with regard to ultrasonic renal measurements between hypertensive and non-hypertensive groups, Results A total of 145 adults aged 16 - 80 years (mean +/-SD= 44 +/-17) participated in the study. In the hypertensive group, renal volume ranged 36.1 - 201.6 (mean=97.7) cm3 for the right kidney and 39.6 - 189.5 (mean=104.4) cm3 for the left kidney, whilst it was 61.8 - 159.5 (mean=101.1) cm3 for the right and 35.8 - 253.7 (mean=111.8) cm3 for the left kidney among the control group. Both kidneys were slightly smaller in the hypertensive group as compared to the controls. Right renal volume to BSA ratio ranged from 23.5 - 100.6 (mean=58.2) cm3/m2 in hypertensive group, while it was between 37.0 and 96.1 (mean=62.6) cm3/m2 among the control group (p=0.076). Left renal volume to BSA of the patients which ranged from 24.1 - 97.1 (mean=62.2) cm3/m2 was significantly (p=0.012) lower than that of the non-hypertensive group, which was between 23.6 and 132.5 (mean=69.3) cm3/m2. Conclusion The results of this study have shown slightly smaller bilateral renal volume among hypertensive patients as compared the controls. We recommend large scale research in other parts of Ethiopia so that nationally representative data can be obtained.

scholarly journals Nephrectomy in a Dog infected with Dioctophyma renale - Mato Grosso do Sul, Brazil

2022 ◽  
Vol 50 ◽  
Author(s):  
Mariana Ramos Santos ◽  
Camila Baloque Do Nascimento ◽  
Júlia De Mendonça Favacho ◽  
Camila Maria Dos Santos ◽  
Miwa Fabiane Suzukawa ◽  
...  
Keyword(s):  
Complete Blood Count ◽  
Parasitic Infection ◽  
Abdominal Ultrasound ◽  
The State ◽  
Renal Parenchyma ◽  
Structure Characteristic ◽  
Mato Grosso ◽  
Successful Recovery ◽  
The Right ◽  
Mato Grosso Do Sul

Background: Dioctophymosis is caused by Dioctophyma renale, a parasite known as the giant kidney worm, that can parasitize the kidneys of domestic and wild animals. There are also reports of its occurrence in humans, thus revealing its zoonotic potential. In most cases, parasitized animals are asymptomatic. This parasite can cause atrophy or destroy the renal parenchyma, although ectopic locations may occur. The diagnosis is made through ultrasonography, based on the presence of eggs in the urine, visualization of the parasite, or during necropsy. Therefore, the aim of this work was to report the case of a young dog infected with D. renale and subjected to nephrectomy in the state of Mato Grosso do Sul, Brazil.Case: A 6-month-old bitch with a clinical suspicion of hydronephrosis in the right kidney was referred to the Veterinary Hospital of Anhanguera-Uniderp University in the city of Campo Grande, MS. A physical examination of the patient revealed an alteration in the urinary system.  An abdominal ultrasound, urinalysis, complete blood count (CBC) tests and biochemical profile were ordered. The erythrogram indicated erythrocytosis resulting from dehydration and loss of body fluids, while enzyme levels (creatinine, urea, alanine aminotransferase [ALT] and albumin) were within normal limits. The abdominal ultrasound showed the presence of a cylindrical and rounded structure characteristic of a nematode and in the right kidney, and loss of renal parenchyma typical of D. renale infection. A urinalysis then revealed the presence of helminth eggs, confirming the diagnosis. The owner was informed about the need for nephrectomy of the affected right kidney, which showed destruction of the renal parenchyma. One adult female and one adult male parasite were removed from inside the kidney, measuring approximately 50 cm and 35 cm in length. The patient was successfully treated, kept in hospital for observation, and returned two weeks later for reassessment of her renal function and removal of stitches. Discussion: Dioctophymosis is often diagnosed based on ultrasound and urine tests. These tests proved sufficient to diagnose parasitism by D. renale. However, the infection is usually discovered during necropsy.  D. renale is popularly known as the giant kidney worm, as it can reach up to 100 cm in length. In the present case, the female parasite was 50 cm long and the male was 35 cm. The patient presented parasitism very young, at just 6 months of age. The parasitic infection of the animal was attributed to the ingestion of water or food contaminated with an intermediate host, the aquatic annelid Lumbriculus variegatus. It is suggested that the ingestion of food or water contaminated with the infective stage of the parasite may have occurred at 2 months of age or younger, since the prepatent period is approximately 6 months. The parasite was found only in the patient’s right kidney. Hydronephrosis was reported in the patient and was caused by obstruction of the internal urethral ostium by the adult nematode. In this case, the recommended surgical treatment was nephrectomy, to which the patient was subjected, leading to successful recovery. This case occurred in the state of Mato Grosso do Sul, where there are no records of parasitism by D. renale in domestic dogs, unlike other states in Brazil. We therefore emphasize the importance of new studies on D. renale, given the lack of clear records describing the parasite’s epidemiological data, biological cycle and diagnosis, which may hinder the prevention and control of this zoonotic disease.Keywords: canine dioctophymosis, helminth, nematoid, giant kidney worm, hydronephrosis.Descritores: dioctofimose canina, helminto, nematoide, verme gigante renal, hidronefrose. 

STUDY OF RADIATION CHARACTERISTICS THE RENAL FUNCTION IN PATIENTS WITH TYPE 2 DIABETES

2014 ◽  
pp. 73-77
Author(s):  
Van Chuong Nguyen ◽  
Thi Kim Anh Nguyen
Keyword(s):  
Type 2 Diabetes ◽  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Disease Duration ◽  
Left Kidney ◽  
Cross Sectional ◽  
The Right

Background: A Research glomerular filtration rate (GFR) of 61 patients with type 2 diabetes mellitus with renal scanning 99mTc-DTPA glomerular filtration rate at the hospital 175. Objective: (1) To study characteristics of imaging of renal function. (2) Understanding the relationship between GFR with blood sugar, HbA1c, blood pressure and albuminuria in patients with type 2 diabetes. Methods: Descriptive, prospective, cross-sectional study. Clinical examination, Clinical tests and 99mTc-DTPA GFR gamma - camera renography for patients. Result: GFR of the study group was 75,4 ± 22,3 ml/phut/1,73m2, the left kidney was 35,0 ± 13,0 is lower than the right kidney and 39,8 ± 11,9; p <0,01. There is no correlation between GFR with blood glucose and HbA1c, the risk of reduced GFR in hypertensive group associated is OR = 6,5 with p<0,01; albuminuria (+) is OR = 4,2 with p <0,01; and disease duration > 10 years is OR = 3,5 with p <0.01. Conclusion: GFR of the left kidneys is lower than the right kidney; correlation decreased GFR associated with hypertension, albuminuria and disease duration. Keywords: GFR, diabetes, albuminuria

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