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Urology (Expert Forum)
UTI
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
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.
UTI
by meikman, Oct 01, 2004 12:00AM
My daughter is 2 1/2 years old. She started a high fever getting up to 103.9 which motrin always brought down. When fever was down she was fine. When the fever would spike she would usually vomit mostly dry hevs because she wouldn't eat and again fine when fever down. It was 4 days before getting into Peds office. They did chest xrays, took blood, then sent us home to call later to have us come back they wanted to cath her. The doctor said her wbc was over 100,000 and that the uti was caused by e-coli. She receive rocephin shots and put on a 10 day antibotic. In two weeks they are going to repeat the ua but then they want to send her to a hospital in the city to have some test on her, a vcug and a reflux test. A year ago she did the same thing with high fever not eating but drinking fine and at that time the doctor suspected uti but said she didn't want to cath her being so young and that was the only way to do a ua on a 1 year old she said it would be the last resort then after examining her ears and thoart she had strep thoart and the antibotic regiem clear everything up.
What could they be looking for and are the test really necassary? This is her first possibly second uti. They did say that we needed to prevent the infection from going to her kidneys, could theses tests possibly be for that.
What could they be looking for and are the test really necassary? This is her first possibly second uti. They did say that we needed to prevent the infection from going to her kidneys, could theses tests possibly be for that.
Doctor's Answer
by Kevin Pho, MD, Oct 02, 2004 12:00AM
, Oct 02, 2004 12:00AM
They are looking for vesicoureteral reflux. This is a disease where the urine refluxes back up the ureters into the kidneys. Every young child with a UTI should be evaluated for this, since this can lead to kidney scarring and damage. The VCUG would be the appropriate test to evaluate for this.
Typically, any child under the age of 7 should undergo a VCUG to ensure that reflux isn't present. From your story, it would seem that the course of action is appropriate.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Typically, any child under the age of 7 should undergo a VCUG to ensure that reflux isn't present. From your story, it would seem that the course of action is appropriate.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments
by nilzeth, Apr 15, 2008 06:44AM
A related discussion, u.t.i. was started.
