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738-B Puliakulam Road
Near Lakshmi Mills
Coimbatore 641 045
Tamil Nadu
India
Urinary Tract Infection in Children
(Discussion on 06 Nov 2005)

Coimbatore Kidney Centre is organizing a Continuing Medical Education Programme on Urinary Tract Infection in children on 06 November 2005 at 10 am.

Aim of the meeting

To bring to the notice of practicing Paediatricians/ Paediatric surgeons /Urologists / Physicians and Family Practitioners the latest advances in diagnosis and management of urinary tract infection and help to formulate specific practice guidelines.

Format of the meeting

Case histories of two children with urinary tract infection will be presented. Principal Discussants (Paediatric Nephrologist and Paediatric Urologist) will be asked to give their views. The participants will be encouraged to ask questions and clear their doubts. The moderator will conduct the session in such a way that useful practice guidelines will be suggested.

Faculty

Principal Discussants :

Dr.M.Vijayakumar, M.D., D.C.H., D.M.
Paediatric Nephrologist.
Chennai & Coimbatore Kidney Centre, Coimbatore

Dr.V.Sripathi, M.S., M.Ch.,F.R.A.C.S.
Consultant Urologist
Chennai

Dr.P.Thirumalaisamy, M.S., M.Ch.
Consultant Urologist
Coimbatore Kidney Centre, Coimbatore

Moderator : Dr.K.S.Ramalingam, M.D.
Nephrologist
Coimbatore Kidney Centre, Coimbatore.
Date : 06 November 2005
Time  

10:00 am to 1:00 pm

Venue : Coimbatore Kidney Centre, Coimbatore
Registration :

Call Mrs.Vasanthi at 0422 – 5351110

Register online at
http://www.coimbatorekidneycentre.com/register.php

Case History : Click here for Case Histories

CASE HISTORIES

Case History: Patient 1

Female, 8 years old, bedwetting since childhood, day time urgency,
Dysuria and fever one month ago,
Nocturnal enuresis+
Complains of repeated upper respiratory symptoms
History of intake of homeopathic drugs for infection

Parents - nonconsanguineous
Father - hypertensive

BP – 90 /60

Lab Tests

Urine :
Albumin : Nil
Sugar : Nil
Deposits : 30 – 35 puscells / hpf
1-2 RBCs / hpf
Bacteria : Plenty
Blood : Urea, 20, creatinine 0.6, sugar 79, Hb 12.5
Total count 9200
Urine culture : E-coli
More than 10,000 cfu/ml
Sensitive to cephalexin, ceftriaxone,
Cotrioxamole,
Norfloxacin
Ultrasound : Right kidney 7.8 x 2.9 cms. - normal
Left kidney 8.3 x 4.0 cms. - normal
No residual urine
Treatment : Treated with antibiotic
MCU done - Grade II reflux - left
(upto pelvis)

Case History: Patient 2

MALE, 4 yrs old, pain left side of abdomen – duration 2 years,
cries while passing urine, frequent urination small in quantity – duration – 2 years,
mild fever on and off – duration – 1 month.

Parents - no specific disease, non consanguineous.

On examination normal except for suprapubic tenderness, right renal
angle tenderness,

BP – 90/60

Lab Tests

Urine :
Albumin : +
Sugar : Nil
Deposits : 20 pus cells / hpf
10 RBCs / hpf
Bacteria : present in centrifuged sample
Blood : Urea 18, creatinine 0.6
Urine culture : E-coli
1,80,000 cfu/ml
Sensitive to amikacin, ampicillin, cefuroxime
Ultrasound : Right kidney : 8.9 x 3.2 cms. ….. normal
Left kidney : Gross hydronephrosis
Treatment : 1. Antibiotic
2. Surgery done
Further investigations : VCU & IVP

Click here to download case histories

 

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