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Pus cells in urine, gram negative bacilli, fungal filaments seen, left kidney dilation, treatment

Hi My child is 7 mnths old - Girl baby. Her urine routine says plenty pus cells and urine culture says many gram negative bacilli , occassional pus cells, no epithilel cells and fungal filaments seen Organism isolated - ECOLI - 0000 cfu/ml. Test done 3 days b4. 2 months back i already did a dmsa scan and it showed left kidney dilatation with no critical scarring..... Plz explain us the treatment and further investigations required.
Asked On : Thu, 12 Apr 2012
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Nephrologist 's  Response
hi, your chilld had urinary tract infection. Her imaging study has shown left sided dilation or hydronephrosis. she needs to be seen by a peediatric nephrologist or urologist. special tests like, VCUG is indicated in her case. she needs to be treated for urinary infection , as well as she may need continuous prophylactic antibiotics. prognosis depends on the extent of pathology which will be clear on VCUG. take care
Answered: Tue, 15 May 2012
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