Kushal, a 6 months old boy had high grade fever for 2 days. A doctor was consulted, and he was diagnosed to have a viral infection- no tests were done. An antibiotic was prescribed for 5 days when the fever did not go away after another 2 days. The fever subsided for time being. But he developed frequent episodes of fever almost every 2-3 months, each time labeled as chest infection/ viral fever and received antibiotics. At 3 years of age, the mother noticed that Kushal was shorter than the other kids of his age and was taken to a doctor again. Doctor reassured that since everything else is well, the child need not be investigated further. At the age of four years, he became very sick with fever, vomiting and tummy-ache. He required admission and blood tests showed infection in the kidneys and early kidney failure. This sent the alarm bells ringing and he was investigated further. He was found to have a condition called Vesicoureteral reflux whereby urine goes back to kidneys and leads to infections. Each infection damages the kidneys and ultimately kidneys lose function. Over the years due to recurrent infections, the kidneys had been damaged. Now he is awaiting renal transplant.
All this could have been avoided, if a urinary infection had been suspected and a urine test was done. As the young children cannot complain of pain during urination and they pass urine into diapers, all that the parents can tell the doctor is that the child was cranky. It is important to suspect urinary infection in any child with fever especially in the first few years of life. As seen the consequences of a missed urinary infections can be disastrous.
Dr A.K.Singal is a top pediatric urologist in Navi Mumbai India. He is expert in diagnosing and treating urine infections in children. At his centre, MITR Hospital in Kharghar Navi Mumbai and at MGM hospital, Vashi, his team regularly performs Ultrasound, MCU test for diagnosing the causes of urine infections in children. Dr Singal is well renowned for treating VUR, PUV, Overactive bladder, PUJ Obstruction, Kidney stones and neurogenic bladder- all of which are causes for urine infection in children.