Recurrent febrile UTI with Bilateral VUR

19 Mar 2023 09:18:09 PM

10 Mar 2023 08:34:24 AM

15 Jan 2023 10:47:27 AM

13 Jan 2023 11:33:34 AM

13 Jan 2023 11:14:39 AM

Dear All,

20 months old male child presented with history of recurrent febrile UTI since last 6 months.

Child is on AB prophylaxis since 4 months before that received AB from 2 more pediatricians who failed to recognise PN responsible for pyrexia.

At present;

Urine: 8 to 10 pus cells, no protein, no rbcs

Last culture was positive for E. Coli

S. Creatinine: 0.4 mg%

HB: 9.7

I am attaching recent USG, VCUG and DMSA scan done in last 7 days.

Previous USG not available to post.

Please discuss; diagnosis, further investigations and treatment...

Thanks