Serum neutrophil gelatinase associated Lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adults

Abstract To assess the diagnostic value of serum Neutrophil Gelatinase-Associated Lipocalin (NGAL) in adult patients with Acute Pyelonephritis. A total of 132 participants divided into two groups as 66 Hospitalized patients aged ≥ 20 years suspected of having acute pyelonephritis and 66 age and sex...

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Main Authors: Ayat Shaban Mousa ElNahal, Ali Ibrahim, Elsayed Abdelhalim, Sally Hassan Essawy, Ahmed behiry, Mo’men Saadoun, Nahla Nosair, Hebatallah Abdelmaksoud Abdelmonsef, Hossam Nabeeh, Tarek Abdelbaky, Diaa-Eldin Taha
Format: Article
Language:English
Published: Nature Portfolio 2025-06-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-03646-9
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author Ayat Shaban Mousa ElNahal
Ali Ibrahim
Elsayed Abdelhalim
Sally Hassan Essawy
Ahmed behiry
Mo’men Saadoun
Nahla Nosair
Hebatallah Abdelmaksoud Abdelmonsef
Hossam Nabeeh
Tarek Abdelbaky
Diaa-Eldin Taha
author_facet Ayat Shaban Mousa ElNahal
Ali Ibrahim
Elsayed Abdelhalim
Sally Hassan Essawy
Ahmed behiry
Mo’men Saadoun
Nahla Nosair
Hebatallah Abdelmaksoud Abdelmonsef
Hossam Nabeeh
Tarek Abdelbaky
Diaa-Eldin Taha
author_sort Ayat Shaban Mousa ElNahal
collection DOAJ
description Abstract To assess the diagnostic value of serum Neutrophil Gelatinase-Associated Lipocalin (NGAL) in adult patients with Acute Pyelonephritis. A total of 132 participants divided into two groups as 66 Hospitalized patients aged ≥ 20 years suspected of having acute pyelonephritis and 66 age and sex matched participants don’t have pyelonephritis. Acute Pyelonephritis was diagnosed in patients with fever, chills or the costovertebral angle tenderness, and bacteriuria higher than 105 CFU/mL without any other focus of infection. No statistically significant differences were observed between the pyelonephritis and non-pyelonephritis groups regarding demographic data or comorbidities. However, the pyelonephritis group exhibited statistically significant differences in Serum NGAL levels, abnormal urine analysis findings, total leukocyte count, and serum C-reactive protein (CRP) levels, with p-values less than 0.001. This study aims to evaluate the potential of Serum NGAL as an early diagnostic biomarker for pyelonephritis, offering a promising tool for timely and accurate diagnosis.
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publishDate 2025-06-01
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spelling doaj-art-eff8d9646af5460a85f5f3c1aff1d04e2025-08-20T03:26:44ZengNature PortfolioScientific Reports2045-23222025-06-011511910.1038/s41598-025-03646-9Serum neutrophil gelatinase associated Lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adultsAyat Shaban Mousa ElNahal0Ali Ibrahim1Elsayed Abdelhalim2Sally Hassan Essawy3Ahmed behiry4Mo’men Saadoun5Nahla Nosair6Hebatallah Abdelmaksoud Abdelmonsef7Hossam Nabeeh8Tarek Abdelbaky9Diaa-Eldin Taha10Medical Microbiology Department, Faculty of Medicine, Kafrelsheikh UniversityUrology Department, Faculty of Medicine, Kafrelsheikh UniversityUrology Department, Faculty of Medicine, Kafrelsheikh UniversityMedical Microbiology Department, Faculty of Medicine, Kafrelsheikh UniversityUrology Department, Faculty of Medicine, Kafrelsheikh UniversityClinical Pathology Department, Faculty of Medicine, Kafrelsheikh UniversityClinical Pathology Department, Faculty of Medicine, Kafrelsheikh UniversityCommunity medicine Department, Faculty of Medicine, Kafrelsheikh UniversityUrology Department, Faculty of Medicine, Kafrelsheikh UniversityUrology Department, Faculty of Medicine, Kafrelsheikh UniversityUrology Department, Faculty of Medicine, Kafrelsheikh UniversityAbstract To assess the diagnostic value of serum Neutrophil Gelatinase-Associated Lipocalin (NGAL) in adult patients with Acute Pyelonephritis. A total of 132 participants divided into two groups as 66 Hospitalized patients aged ≥ 20 years suspected of having acute pyelonephritis and 66 age and sex matched participants don’t have pyelonephritis. Acute Pyelonephritis was diagnosed in patients with fever, chills or the costovertebral angle tenderness, and bacteriuria higher than 105 CFU/mL without any other focus of infection. No statistically significant differences were observed between the pyelonephritis and non-pyelonephritis groups regarding demographic data or comorbidities. However, the pyelonephritis group exhibited statistically significant differences in Serum NGAL levels, abnormal urine analysis findings, total leukocyte count, and serum C-reactive protein (CRP) levels, with p-values less than 0.001. This study aims to evaluate the potential of Serum NGAL as an early diagnostic biomarker for pyelonephritis, offering a promising tool for timely and accurate diagnosis.https://doi.org/10.1038/s41598-025-03646-9PyelonephritisNeutrophil gelatinase-associated LipocalinBiomarkerUrinary tract infection
spellingShingle Ayat Shaban Mousa ElNahal
Ali Ibrahim
Elsayed Abdelhalim
Sally Hassan Essawy
Ahmed behiry
Mo’men Saadoun
Nahla Nosair
Hebatallah Abdelmaksoud Abdelmonsef
Hossam Nabeeh
Tarek Abdelbaky
Diaa-Eldin Taha
Serum neutrophil gelatinase associated Lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adults
Scientific Reports
Pyelonephritis
Neutrophil gelatinase-associated Lipocalin
Biomarker
Urinary tract infection
title Serum neutrophil gelatinase associated Lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adults
title_full Serum neutrophil gelatinase associated Lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adults
title_fullStr Serum neutrophil gelatinase associated Lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adults
title_full_unstemmed Serum neutrophil gelatinase associated Lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adults
title_short Serum neutrophil gelatinase associated Lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adults
title_sort serum neutrophil gelatinase associated lipocalin as a novel biomarker for diagnosing acute pyelonephritis in adults
topic Pyelonephritis
Neutrophil gelatinase-associated Lipocalin
Biomarker
Urinary tract infection
url https://doi.org/10.1038/s41598-025-03646-9
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