A child with urosepsis and a bladder with a halo: Questions

Excerpt

A fourteen and a half year-old boy, born of a third-degree consanguineous marriage, was admitted at a primary healthcare center with complaints of fever and vomiting of 4 days’ duration. Following admission, he developed urinary retention and on bladder catheterization was found to have hematuria. Ultrasonography was suggestive of bilateral gross hydroureteronephrosis with significant bilateral cortical thinning; hemogram showed pancytopenia: hemoglobin 7.8 g%, total leucocyte count 3500/cu mm, and platelets of 41,000/cu mm. He received intravenous meropenem and one unit of packed red blood cell transfusion. He underwent computed tomography (CT) of abdomen and pelvis (Fig. 1). On the following day, he became drowsy and breathless so was transferred to our center.

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