UTI in a Paediatric Patient
Clinical History
A 14-year old boy presented with long-standing recurrent UTI symptoms with some fever.
Case Description
Ultrasound revealed a thick and irregular urinary bladder wall outline. There was some debris seen within the bladder lumen. The pre void bladder volume was 182 ml, while the post void bladder volume was 105 ml (incomplete bladder emptying). In addition, there was also an area of focal thickening seen in the left ureteric orifice measuring 16 mm x 11 mm (L x AP). Although the ureters were not obstructed as there was no hydroureter, and the bladder jets were within optimal limits. There was no hydronephrosis either, however, the left urothelium was mildly thickened as seen in the left renal pelvis indicating a UTI.
Diagnosis/ Discussion/ Treatment/ Follow up
The patient was placed on antibiotics therapy which helped resolve the symptoms.