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Case Reports
. 2013 Sep;10(3):169-71.
doi: 10.5812/iranjradiol.4079. Epub 2013 Aug 30.

A case of neonatal urosepsis with multifocal osteoarthritis: could ultrasonography change the clinical course?

Giovanni Ottonello  1 , Angelica Dessì  1 , Maria Elisabetta Trudu  1 , Carmela Porcu  2 , Vassilios Fanos  1
Affiliations
Case Reports

A case of neonatal urosepsis with multifocal osteoarthritis: could ultrasonography change the clinical course?

Giovanni Ottonello et al. Iran J Radiol. 2013 Sep.

Abstract

An eleven-day boy neonate with a fetal anamnesis of grade 1 bilateral hydronephrosis according to the grading of the Society for Fetal Urology (SFU), came to our attention for an acute osteoarthritis secondary to urosepsis. In the urological follow-up, a severe bilateral vesico-ureteral reflux (VUR) was diagnosed. An early post-natal, reno-vesicle ultrasound evaluation could have changed the clinical course of our patient.

Keywords: Infant, Newborn; Osteomyelitis; Pyelectasis; Pyelonephritis; Ultrasonography.

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Figures

Figure 1.
Figure 1.
A. Fetal ultrasound at 31 weeks of gestational age demonstrating bilateral hydronephrosis grade 1 (SFU). B, Ultrasonography of the right and left kidney on admission showing bilateral ureterohydronephrosis grade 3 (SFU)
Figure 2.
Figure 2.
X-ray of the lower limbs 15 days after admission (1 month of age) shows osteolysis of the upper metaphysis of the right tibia.
Figure 3.
Figure 3.
X-ray of the right ankle on admission at 11 days of age
Figure 4.
Figure 4.
X-ray control at 4 months of age: resolution area of osteolysis
Figure 5.
Figure 5.
Bilateral VUR with urine cystoureterography (2 months of age)
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