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- Title
A severe urinary tract infection in an 11-year-old girl with a neurogenic bladder.
- Authors
Sołtysiak, Jolanta; Ostalska-Nowicka, Danuta; Frąckowiak, Karolina; Maćkowiak-Lewandowicz, Katarzyna; Patelska-Banaszewska, Magdalena; Zachwieja, Jacek
- Abstract
This paper presents a case of urosepsis caused by Escherichia coli in an 11-year-old girl with a neurogenic bladder. The patient had not previously been supervised by a nephrologist or urologist. On admission, significantly elevated serum markers of inflammation (C-reactive protein 32.4 mg/dl, procalcitonin 64.2 ng/ml), kidney failure (creatinine 6.9 mg/dl, pH 7.22, HCO3 6.3 mmol/l), and increased serum urea (399 mg/dl) were detected. Antibiotic therapy with rehydration was started and improved renal function without dialysis. However, a 9-cm-long perirenal abscess site was diagnosed. It required surgical treatment, which was complicated by an anaphylactic reaction to latex. Colitis caused by Clostridium difficile was also diagnosed. Hospital treatment lasted 38 days. After 4 months the patient's glomerular filtration rate was 66 ml/min/1.73 m² and indicated stage 2 chronic kidney disease. Because early diagnosis of urinary tract infection is crucial for preventing complications in children with neurogenic bladder, they should undergo regular nephro-urological care.
- Subjects
POLAND; URINARY tract infection diagnosis; DIAGNOSIS of escherichia coli diseases; COLITIS diagnosis; ANEMIA diagnosis; ANTIBIOTICS; PROTEINURIA diagnosis; BIOMARKERS; C-reactive protein; GLOMERULAR filtration rate; CHRONIC kidney failure; UREA; FLUID therapy; DIARRHEA; FEVER; URINARY tract infections; CALCITONIN; SURGICAL complications; MAGNETIC resonance imaging; SEVERITY of illness index; NEUROGENIC bladder; CLOSTRIDIUM diseases; UROLOGISTS; ANURIA; MEDICAL referrals; COLITIS; ANOREXIA nervosa; THROMBOCYTOPENIA; LATEX allergy; ACUTE kidney failure; DISEASE complications; CHILDREN
- Publication
Polish Journal of Pediatrics / Pediatria Polska, 2023, Vol 98, Issue 3, p242
- ISSN
0031-3939
- Publication type
Article
- DOI
10.5114/polp.2023.130848