Complicated paediatric UTI / pyelonephritis
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Teaching point — how the wording changes the answer
A child with non-bilious vomiting, fever, being unwell, haematuria and confirmed left hydronephrosis has complicated UTI/pyelonephritis (possible urological emergency) and must be admitted for IV antibiotics (e.g. ceftriaxone). Oral antibiotics alone are insufficient; ultrasound is redundant as hydronephrosis is confirmed and cystoscopy has no acute role.
Q50
Child with non-bilious vomiting, fever, unwell, haematuria and confirmed left hydronephrosis. Management?
Key clue
Complicated UTI = admit for IV antibiotics, not outpatient
Show answer
Admit for IV antibiotics (ceftriaxone)