Fever and blood in urine - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

Want an expert opinion? Put your query to our medical experts and get advice

Diet & Diseases

Head circuferences Calculator

Mid parental height Calculator

Body surface area Calculator

BMR Calculator

Temperature Calculator

Anion gap Calculator

	Specialist Answers
Question
My 24 month old has high fever for 4 1/2 days now. Fever had went up to 104.7 degrees (rectally) but NO other symptoms. I've had her in to the Pediatrician's office 2 times in the last 4 days...no swollen glands, ears are clear (she has tympanostomy tubes), throat looks fine. I brought a urine sample in this morning and there was blood in the urine but nitrates and protein levels were not elevated. It's been sent out for urinalysis but may not get back till Monday. What are possible causes for blood in urine other than UTI and what could be possible causes for the fever (plenty, I know). The pediatrician said they want to see my daughter in the office tomorrow if the fever persists and they may try to draw blood depending on the results of the urinalysis. Past medical history is significant for reflux, chronic otitis media, h/o blood in stool (negative sigmoidoscopy and it subsided after 6 mos.) My pediatrician's office haven't offered any possible causes- probably don't want to worry me but I prefer to have all the info. Any feedback, suggestions, etc are appreciated.
Answer
Fever and blood in urine would make one think of UTI. However, blood in urine (also called as hematuria) could also be due to other causes such as post streptococcal or viral glomerulonephritis or even drug induced hematuria. Drugs that are used for fever such as nimesulide or ibuprofen are known to cause hematuria which subsides once that drug is stopped. It seems to be a sort of allergic reaction. If there is no evidence of a urinary tract infection, then your child will need investigations not only for the fever, but also for hematuria. In the meantime, you can read the article on "BLOOD IN URINE" on www.pediatriconcall.com. or from the link given below: http://www.pediatriconcall.com/forpatients/CommonChild/Kidney_problems/ blood_in_urine.asp Back to All Questions

"Get the Vaccine Schedule for your child."

Share Experience

Message Board

Translate this page

Pediatric oncall book store

Partner Sites

Pediatric Oncall Journal

Educational Section

Disclaimer:

The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

Sitemap For Doctor

Sitemap For Parent

Sitemap For Kids