The fatal outcome of a child with a delayed posterior urethral valve diagnosis in a low income country: A case report and take home messages
Journal Title: Journal of Medical Biomedical and Applied Sciences - Year 2017, Vol 5, Issue 8
Abstract
Introduction: When faced with early urinary tract infections in infants, there is a need to do diagnostic imaging to exclude urinary tract malformations. Delayed diagnosis of this condition could lead to serious complications. Case presentation: We received a 2 months old male infant referred for better management of an acute kidney injury (AKI) with septicemia. He had a past medical history of febrile urinary tract infection. Our diagnosis was that of acute kidney injury and septicemia associated to a posterior urethral valve. The initial treatment included broad spectrum antibiotics, management of AKI complications and vesicostomy to relief the urinary obstruction prior to valve ablation. We unfortunately lost the infant on day 3 following surgery from severe refractory hyperkaliemia and a uremic syndrome. Conclusion: This case is a call to clinicians’ attention in low income countries to always check for urinary tract malformations when confronted with an infant presenting a febrile urinary tract infection.
Authors and Affiliations
Jan René Nkeck Francky Teddy A. Endomba1, Joel Noutakdie Tochie, A. Junette M. Metogo, Jacqueline Ze Minkande
Keywords
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- EP ID EP313097
- DOI 10.15520/.v5i08.72
- Views 86
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