Chronic lumbar pain and urinary infections in a young woman
Dolor lumbar crónico e infecciones urinarias en una mujer joven
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Rioja, F. J. Burgos" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Maite" "apellidos" => "Rivera" "email" => array:1 [ 0 => "mriverag.hrc@salud.madrid.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "Iniciales" => "J." "apellidos" => "Ortuño" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 2 => array:3 [ "nombre" => "M.ª E." "apellidos" => "Rioja" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 3 => array:3 [ "Iniciales" => "F. J." "apellidos" => "Burgos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Universitario Ramón y Cajal, Madrid, Madrid, España, " "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Nuclear, Hospital Universitario Ramón y Cajal, Madrid, Madrid, España, " "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] 2 => array:3 [ "entidad" => "Servicio de Urología, Hospital Universitario Ramón y Cajal, Madrid, Madrid, España, " "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dolor lumbar crónico e infecciones urinarias en una mujer joven" ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">SUMMARY OF THE CLINICAL HISTORY</span></p><p class="elsevierStylePara">This is a 32 years old woman presenting with chronic right lumbar pain and 5 episodes of acute pyelonephritis for the last 10 years, and one episode of macroscopic hematuria. Physical examination: BP 110/60 mmHg, BMI: 16.9, the remaining was normal. Laboratory work-up: normal renal function, no proteinuria or hematuria.  Normal renal ultrasound. Intravenous urography: mild dilation of the right renal pelvis, which is slightly descended (Fig. 1a and 1b). Decubitus diuretic renogram (DTPA-Tc99m/furosemide): good bilateral kidney perfusion and normal excretion curves. Standing-up diuretic renogram: pathological descent of the right kidney with compromised perfusion and mild pyelic ectasis (Fig. 2a and 2b). Diagnosis: right renal ptosis. </p>" "pdfFichero" => "P-E-S-A510-EN.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Barber NJ, Thompson PM. Nephroptosis and Nephropexy_ Hung Up on the Past? European Urology 2004; 46: 428-433." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Boccardo G, Ettari G, De Prisco O, Donato G, Maurino D. Renal ptosis: nephrologic consequences of an organ malposition. Minerva Urol Nefrol 1994; 46: 195-204. <a href="http://www.ncbi.nlm.nih.gov/pubmed/7701405" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002800000002/v0_201502091614/X2013251408033096/v0_201502091615/en/main.assets" "Apartado" => array:4 [ "identificador" => "35440" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Nephrology Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002800000002/v0_201502091614/X2013251408033096/v0_201502091615/en/P-E-S-A510-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408033096?idApp=UINPBA000064" ]
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