A 3-year-old girl presents with her first febrile urinary tract infection, confirmed by positive culture of a catheter specimen. She is clinically wel...

Question

A 3-year-old girl presents with her first febrile urinary tract infection, confirmed by positive culture of a catheter specimen. She is clinically well after 48 hours of oral antibiotics. Which is the most appropriate next step in investigation after this acute episode?

Accepted Answer

Renal ultrasound to assess anatomy

Answer

No further imaging or follow-up is required

Answer

Immediate voiding cystourethrogram for vesicoureteric reflux

Answer

CT urogram to exclude calculi

Answer

Routine dimercaptosuccinic acid scan in all children

au-amc MCQ (SBA): Paediatric urinary tract infection

A 3-year-old girl presents with her first febrile urinary tract infection, confirmed by positive culture of a catheter specimen. She is clinically well after 48 hours of oral antibiotics. Which is the most appropriate next step in investigation after this acute episode?