4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
This query is from singapore. My son was down with high fever at 40.5 degree Celsius at 19 days old.He was admitted in hospital for 5 days for blood,urine test.It showed E.coli in his urine.Doc put him on IV with antibiotic.Fever subsided the next morning.Ultrasound on kidneys showed normal.2nd urine culture showed no bacteria but now doc wanted to perform MCU on baby. I would like to find out how necessary is this MCU?If it is really necessary,how soon should we perform it?Is there any other signs of reflux possible to detect without performing MCU?Pls advice asap.Thanks.
Answer
A high fever with urine infection suggests infection of the kidneys (pyelonephritis). The correct way would be to do an MCU and then a nuclear scan later (MCU to diagnose a reflux and a nuclear scan to look for kidney scars).
Read the article on UTI on www.pediatriconcall.com or from the link given below:

http://www.pediatriconcall.com/fordoctor/diseasesandcondition/
PEDIATRIC_NEPHROLOGY/urinary_tract_infection.asp

 
 
 
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