acute pyelonephritis and ...

A male infant, 10 months old, 10 kg, was brought by his parents to the general clinic with complaints of fussiness, fever (39°) and vomiting several times. These complaints have been going on for the past 4 days. Previously the baby looked healthy and played as usual. Defecation was normal and according to the parents the baby's urine was pungent and cloudy. A few months ago the baby had experienced similar complaints and received outpatient therapy. From the results of the examination, the baby's penis is seen in the attached photo, the results of the UL examination obtained LEA +, wbc 20-30 / field of view. Urinalysis results were obtained: Leukocyturia (>5 leukocytes / field of view), Hematuria (>3 erythrocytes / field of view), bacteria on gram staining. In the middle urine collection, >100,000 germ colonies per milliliter of urine were found. Peripheral blood examination: leukocytosis was found. Urine culture and sensitivity test. Urine culture after 3rd day of antibiotic therapy, after 1 month and every 3 months. Creatinine and ureum to assess renal function and renal and urinary tract imaging to look for anatomical and functional abnormalities of the urinary tract. The patient was diagnosed with acute pyelonephritis in complex UTI and phimosis.