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4-5 month, night fever, urine infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2250 Questions
User :   Hi, my 4-5 month baby had a one night fever. It started in the night 8:30 AM with 100F, went upto 101 F when we took him to ER where it showed 99F and in the subsequent morning it was 100F and again went back to normal by noon and it never returned. He was feeding well and showed no other symptoms like pain during urination or cloudy/foul smelling urine. The urine was tested the night we went to ER and it showed pus cells 30-35 HPF. The doctor prescribed sporidex and urine culture test. The culture was positive with two bacteria growing > 100K CFU and were resistant to sporidex. Still he never showed any type of symptoms after that night. We did ultrasound and it was normal in the next week. 5-6 days after sporidex dose got over we did urine routine and culture from the other lab and it showed 1-2HPF and negative urine culture. Given that he did not have any kind of symptom except that night fever which went away without medication, what is the possibility that he really had UTI and how should I confirm it and take care in future.
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   let me read what you have typed
User :   ok
User :   Thanks
User :   Just one more addtion Dr.
User :   he has weight gain of almost 500 gms in 20 days during this phase.
Doctor :   ok. children tend to get repeated UTI
Doctor :   if not well hydrated
Doctor :   make sure that hydration levels are good
Doctor :   the fact that he got better without medications
User :   he was breasfeeding exclusively during that time
Doctor :   could be that the infection got flushed out
Doctor :   continue to breast feed him
Doctor :   but start with giving little amounts of diluted juices and water
User :   yes..we also have started little rice(liquid form) very dilute since he is demanding more which is not met by just breastfeeding
Doctor :   yes he will start having extra requirements now as he is growing up
Doctor :   you can give him mashed rice with adding a very little amount of ghee (about 1 drop),
Doctor :   give him water of dal (without spices) plain dal water
User :   yes..we are doing exactly the same in the afternoon for last 10 days
Doctor :   coconut water in small amounts ( about 1/2 cup in entire day)
User :   just one more question
User :   ok
Doctor :   yes please proceed
User :   what is the urgency of doing MCU test in this specific case to rule out reflux
User :   especially when he is doing fine
Doctor :   no urgency as such, if he has repeat episodes of fever and urine infection then it might be needed
User :   since it is kind of painful we wanted to do it if it is absolutely necessary
Doctor :   MCU for small children less than 1 year is of less significance unless some problems has been identified or suspected
Doctor :   was it advised for him?
User :   and his ultrasound is normal
User :   doctor said it is according to the guideline and left it on us
Doctor :   wait and see , if the child is doing fine, and has no other symptoms, then wait and watch for any new symptom development
Doctor :   consult a pediatric urologist or a nephrologist for a second opinion
Doctor :   on this before proceeding with your decision
User :   yes..we have decided to do urine routine regularly (weekly) to see his pus cells
Doctor :   ok
User :   ok.Thanks for your help and advice.
Doctor :   is there anything else I can help yo with?
Doctor :   *you
User :   No. Doctor. Thanks!
Doctor :   thanks for consulting me. bye for now.
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