Review
Published · Updated · 2 min read
Noonan syndrome: urinary tract anomaly detected after pyelonephritis in a girl
What it means for practice
The authors emphasize early detection of urinary tract anomalies in children with syndromic disorders and multidisciplinary care, including nurses’ involvement in recognizing symptoms.
Summary
Clinical presentation
The report describes a girl with Noonan syndrome who was first treated for acute pyelonephritis at 11 months of age. Ultrasound revealed a duplex collecting system in the left kidney, grade V hydroureteronephrosis, and a megaureter. Genetic testing confirmed Noonan syndrome. The report thus brings together an episode of urinary tract infection, identification of a structural anomaly, and confirmation of a syndromic disorder in one child.
Intervention and outcome
At two years of age, the girl underwent cystoscopy and heminephrectomy to remove the hypofunctional kidney pole. No recurrent urinary tract infections were observed afterward. This is the outcome reported for the individual patient, rather than a comparative assessment of the effectiveness of surgical treatment.
Practice emphasis
The authors highlight the importance of early detection of urinary tract anomalies in children with syndromic disorders and a multidisciplinary approach to care. They also emphasize nurses’ role in recognizing symptoms and improving outcomes. The report’s central emphasis is timely recognition of anomalies and coordinated care for these patients.
Source
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Syndromes in pediatrics – when should we suspect urinary tract anomalies? – a case report.
Reviewed by: DrugCard editorial team ·
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