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Urology  (Expert Forum)
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Repeat UTI's in 7 Month Old Boy
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Repeat UTI's in 7 Month Old Boy

by Kat, Nov 05, 1999 12:00AM
My 7 month old son has just been diagnosed with his second UTI in two months.  After the first, his peds sent him for a renal ultrasound and a VCUG.  Both tests came back negative.  We were relieved to say the least.  The ped had us bringing in his urine once a month for three months.  The first time it was crystal clear and now the second time it is filled with leukocytes.  What could be causing this to happen to my baby?  What other tests will he have to undergo?  Is it possible for him to have some kind of structual damage that the first two tests didn't find?  We are taking him back in to the ped today.  He also has not gained any weight in one month (although he has grown an inch), I don't know if that cuold be related to the infection or not?



Thanks for and advice.

by HFHS M.D.-CK, Nov 05, 1999 12:00AM
Dear Kat,

If a male is less than one year of age and has a urinary tract infection, then there is an 18% chance that he will have another infection.  this has occurred with your son.  It was standard care to obtain an ultrasound of the kidneys and voiding cystourethrogram (VCUG).  Often these studies detect underlying abnormalities (posterior urethral valves, vesicoureteral reflux, ureteropelvic junction obstruction) that predispose to infection.  

Your sons initial studies did not reveal a treatable abnormality.  Consideration for prophylactic antibiotics should be entertained if the infections prove frequent (two or more recurrent infections over a six month period).  Reevaluation to look for structural abnormalities should be performed based on the clinical course.  Sometimes older children are taken off antibiotics if their recurrent infections are totally asymptomatic.

This information is provided for general medical information purposes only. Please consult  your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital  and its suburban locations. (I-800-653-6568).

Sincerely;

HFHS M.D.-CK

* Keyword: pediatric urinary tract infection



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