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Ewha Med J.  2021 Apr;44(2):46-49. 10.12771/emj.2021.44.2.46.

Unusual Case of Vesicoureteral Reflux and Chronic Kidney Disease in a 10-Year-old Boy with Asymptomatic Bacteriuria

Affiliations
  • 1Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea

Abstract

Primary vesicoureteral reflux is a common genetically determined condition that is associated with varying degrees of renal scarring and represents one of the main causes of chronic kidney disease in children. Usually vesicoureteral reflux is common in urinary tract infection patient under 5 years of age. However, we report a rare case of high-grade vesicoureteral reflux and chronic kidney disease in a 10-year-old boy who was referred to the pediatric department for incidentally detected asymptomatic bacteriuria. Our case demonstrated that high grade vesicoureteral reflux patient with reduced renal function, bladder and bowel dysfunction at presentation is more likely to progress to chronic kidney disease.

Keyword

Vesico-ureteral reflux; Nephropathy; Renal insufficiency; chronic; Bacteriuria
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