Pediatrics in Review
HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Rapid Responses: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Feld, L. G.
Right arrow Articles by Ogra, P. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Feld, L. G.
Right arrow Articles by Ogra, P. L.

Urinary Tract Infections in Infants and Children

Leonard G. Feld MD, PhD1
Saul P. Greenfield MD2
Pearay L. Ogra MD3
 1 Chief, Division of Pediatric Nephrology, Children's Hospital of Buffalo; Associate Professor of Pediatrics and Physiology, SUNY at Buffalo School of Medicine
2 Chief, Dept of Pediatric Urology, Children's Hospital of Buffalo; Assistant Professor of Urology, SUNY at Buffalo School of Medicine
3 Chief, Division of Infectious Diseases, Children's Hospital of Buffalo; Professor of Pediatrics and Microbiology, SUNY at Buffalo School of Medicine

CASE HISTORY AND OFFICE DIAGNOSIS

A 7-month-old uncircumcised male infant had vomiting, diarrhea, and low grade fever (38.4°C) 2 days before coming to the pediatrician's office. One day before seeing the baby, the physician prescribed Pedialyte and acetaminophen elixir. The child appeared active to the pediatrician. Mucous membranes were slightly dry and tears were present. His blood pressure was 98/62 mm Hg, pulse rate 92 beats per minute, and temperature 38°C. Laboratory evaluation included an analysis and culture of catheterized urine sample: specific gravity, 1.025; pH, 6.0; protein, trace; blood, negative; sugar and ketones, negative; sediment—0 to 1 red blood cells per high-power field; 6 to 8 white blood cells per high-power-field and no bacteria. Based on the differential diagnosis of viral gastroenteritis vs urinary tract infection, the patient was sent home with a prescription for Pedialyte and acetaminophen and the parents were told to call the office in 24 hours for test results.

The urine culture was positive for greater than 100 000 colonies per milliliter of a single organism which was later identified as Escherichia coli and sensitive to all antibiotics. The child was started on a regimen of amoxicillin. Two weeks later, a repeat urine culture was negative for bacteria.




This article has been cited by other articles:


Home page
 Arch Pediatr Adolesc MedHome page
M. L. Currie, L. Mitz, C. S. Raasch, and L. A. Greenbaum
Follow-up Urine Cultures and Fever in Children With Urinary Tract Infection
Arch Pediatr Adolesc Med, December 1, 2003; 157(12): 1237 - 1240.
[Abstract] [Full Text] [PDF]


HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
Pediatrics Pediatrics in Review
Copyright © 1989 by the American Academy of Pediatrics.