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Septic arthritis in an infant with vesicoureteral reflux and urinary tract infection

Sharmila Nair1, Morris J Schoeneman

  • 1Department of Pediatrics, Brooklyn Hospital Center, Brooklyn, New York, USA.

Pediatrics
|February 4, 2003
PubMed

Insights

Early identification of urinary tract abnormalities in infants is crucial. Prompt diagnosis and management of conditions like vesicoureteral reflux can prevent severe complications such as urosepsis and septic arthritis.

Area of Science:

  • Pediatric Urology
  • Infectious Diseases

Background:

  • Urinary tract infections (UTIs) in infants can lead to severe systemic complications.
  • Vesicoureteral reflux (VUR) is a significant risk factor for recurrent UTIs and subsequent infections.

Observation:

  • A 4-week-old infant with a history of UTI and VUR presented with urosepsis and septic arthritis of the right hip.
  • Poor compliance with prophylactic antibiotic therapy was noted in this case.

Findings:

  • Systemic complications like bone and joint infections can arise from UTIs in children with underlying urologic abnormalities.
  • Delayed diagnosis of urologic anomalies increases the risk of severe outcomes.

Implications:

  • Defining urinary tract abnormalities early, particularly in cases of antenatal hydronephrosis or first UTI, is essential.
  • Appropriate investigations, management, and support for parental compliance are vital to prevent systemic complications in infants.

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