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September 11, 2005
UTIs in the young

Case: 10 week old male infant returns to the office post UTI and ABX treatment. The patient presents with a slight fever and cough.

Plan: Based on the age, and gender of the patient the etiolgoy of the UTI appears anatomical. In order to assess the situation the attending decides that a voiding cystourethogram (VCUG), and renal ultrasound are necessay. The concern is that the infant is having retrograde urination which can cause kidney damage (primary vesicourethral reflux). A dimercaptosuccininc acid (DMSA) study should be done to rule out pyelonephritis. Additionally, young patients who present with UTIs will need to be on prophylactic ABX treatment until ages 6-8 to prevent further infections. The attending in this situation chose 20 mg/kg Augmentin. Lastly these patients should get annual radionuclide cystography to detect reflux.

Posted At : 8:26 PM. | Link | Rotation 1 05-06 | Comments (2)

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Comments

This was nice to know, do anyone know the risk factors that would increase an infant or toddler in getting an UTI?

Posted By Ivan Ngai / Posted At 9/13/05 9:35 PM

There has been a lot of debate over whether or not circumcision is beneficial. Reading this case I was wondering if there was ever a study done to see whether or not the incidence of UTI's in male newborns is higher in those whose parents chose not to do circumcision.

Posted By Ariy Volfson / Posted At 9/18/05 2:47 PM