A member asked:

5 yo girl, no history of uti or kidney probs: in hosp for hi fever, dehydratn, urinalysis=+ for bact, urine culture=-! renal echo=dilated kidn. opinions?

A doctor has provided 1 answer

Consult a urologist: This child may have a number of problems, the most likely being vesicoureteral reflux or upj obstruction. She may need further studies, including a test called VCUG or a nuclear renal scan. If possible, consult with a pediatric urology subspecialist. She may need to be on antibiotics indefinitely until the problem can be diagnosed definitively.

Answered 10/31/2014

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