Question of the Week

Question :

Posted On : 07 Apr 2003

A 4year female child presented with mod. grade fever since 2 days,mild puffiness of face and passing high{red} coloured urine.On examination, playful ,active child,B.P.120,70 mild puffiness of face, afebrile,Rest of the systemic examination unremarkable. Admitted for observation and investigation Investigation profile C.B.C. Hb 11.2gm, TLC 11500,mm3 PLAT 2.3 lacs serum creat 0.7mg Percent complement3 level WNL Urine routine-albumin2 plus , M,S Field full of rbc's, Few pus cells, No rbc cast seen USG abdomen-Renal size normal, C.M. diff well maintained bladder wall signoficantly thick suggestive of cystitis. Urine c and s grew E.coli child was given Inj Ceftriaxone after collecting for urine culture also Inj. Lasix 10mg. single shot was given Child had remarkable improvement, Hypertension subsided in 12hrs.,had good urinary output,did not require antihypertensives,no further episodes of fever Discussion Child was initially thought to have acute glomerulonephritis in V,o edema,Htn, hematuria but looking at the clinical course in light of investigations, it is less likely to be AGN.Her urine examination after 48 hrs. did not reveal any rbc's. I would like to ask the experts that can acute cystitis possibly due to E.coli infection can present as transient gross hematuria, hypertension and mild edema?

Expert Answer :

No expert answer available.

Answer Discussion :

Dr Santosh

Possible with pyelonephritis

22 years ago

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