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SAN DIEGO--Renal scars and moderately reduced renal function are common in women with previous acute pyelonephritis, but long-term serious clinical complications appear to be rare, Dr. Raul Raz said at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy.
Those conclusions came from one of the few studies to evaluate long-term complications in women who develop acute pyelonephritis as adults, said Dr. Raz of the Technion School of Medicine, Haifa, Israel.
Of 63 women aged 18 years and older who had been hospitalized with acute pyelonephritis between January 1982 and December 1992, 29 (46%) were found to have renal scars 10 or more years later on dimercaptosuccinic acid scans, while 34 (54%) did not. Pregnancy and hypoalbuminemia at the time of hospitalization were the only two independent factors related to the presence of renal scars at a mean of about 17 years follow-up. Of the ...