Dr. Anil Takvani
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A case: Diagnosis & ...
10 Mar 2023 08:34:24 AMBilater reflux with recurrent UTI - 6 years female child
Dear All,
6 years female child presented with history of recurrent febrile episodes in last 2 to 3 years period.
She was diagnosed with febrile UTI first time before a month .
Her culture was positive for E. Coli and she was treated with injectable AB. At present she is on ab prophylaxis.
S. Creatinine is 0.52 mg%
USG: Bilateral hun, more on left side.
I am posting images of VAUG.
What next. At present DMSA not available because of Covid 19.
Thanks
Comments(8)
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Utsav Shah
07 Aug 2020 09:33:01 PMRespected Sir,
Based on the available images, VUR appears to be more on the right sideRt side- GrIII/IVLt side- GrII/IIIDMSA will do justice to her.But in case of non availability, we can continue her on oral AB prophylaxis.If she develops breakthrough infection, we can intervene(endoscopic or anti reflux Surg) -
Rahul Kapoor
08 Aug 2020 02:16:06 PMSir
I would like to intervene and do anti reflux surgery.She is 6 years old, recurrent UTI and reflux even during filling phase -
Tikenjit Mazumdar
09 Aug 2020 10:09:50 PMSir,in this case,I want to know history of BBD n neurogenic bladder...
Will keep her on AB prophylaxis...Mild laxative...Do MCUG after control my of infection in 4-6 weeks...then decide...For the time being infection control n bowel management.. -
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Tikenjit Mazumdar
10 Aug 2020 11:42:29 PMSir,how I see it as duplex kidney( have a look at rt sided image),with urinary tract infection...with inflammation...vuj junction r not that competent to not allow reflux of dye...so after control of inflammation,I want to repeat it..
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Dr. Roy Chally
28 Aug 2020 10:14:39 AMVoiding film shows a narrowing in the sphincter area of urethra. The distal and proximal urethra a little dilated. Has she got urgency ? Cystometry if urge or urge wetting is present.
Dr. Anil Takvani
03 Aug 2020 09:51:59 PMUploading images of VCUG...