پانل نفرولوژی کودکان

در این پنل مواجه علمی با 5 بیمار با شما به بحث گذاشته خواهد شد که شامل موارد زیر است:

Case1:

•A 6 months old female infant was admitted due to fever and irritability for 4 days.
U/A: 2+ protein, WBC=8-10, RBC=6-8 and U/C with bag was sent and ceftriaxone started. After 24 hr. U/C>100000 colonies mixed
growth.
KUB Sono: left sided increased renal echo and caliectasis...................................

Case2:

•A 24 months old girl wad admitted with fever
and diarrhea for 10 days.
• U/A: 6-8 WBC, moderate bacteria.
• ESR=37, CRP=2+
• The first dose of antibiotic was started before U/C sampling.
• U/C was negative after 24 hours....................................

Case3:

•A 24 months old girl with documented febrile UTI one year ago, referred with fever and irritability for 24 hours and U/A showed 8-10 WBC.
• After urine sample for culture cefixime was started and after 24 hours it was discontinued due to negative U/C. Fever was discontinued 24 hours later......................................

Case4:

• A 16 months old infant with fever and cough for 2 days.
• U/A: Normal, ESR=55,CRP=64, WBC=3100
• Fever was discontinued after 24 hours without antibiotic therapy..................................

Case5:

• A 13 months old infant presented with fever and convulsion. U/A: nitrite 2+, moderate bacreia. ESR=17, CRP=2, U/C>100000 colonies of E.Coli, resistant to ceftriaxone.
• LP was failed.
• Sono or U/C during treatment was not done.
• Ceftriaxone was used for 5 days, fever discontinued.......................................

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