Bilateral high grade reflux with recurrent febrile UTI and renal scarring
10 months male child, appearing sick, presented with history of recurrent febrile UTI since last 6 to 7 months. On previous febrile episodes child was not evaluated for presence of UTI. He is on antibiotics as per culture sensitivity. Since last 10 days afebrile. Height normal, weight is less in compare to age. BP normal, urine protein absent.
S. Creatinine: 0.48 mG%
I am attaching recent USG, VCUG and DMSA renal scan for review.
How will you manage this child from this point...