Review
Published · Updated · 1 min read
Vulvar synechiae as a reversible predisposing factor for febrile urinary tract infection in an infant
What it means for practice
Examination of young girls with urinary tract infection should include the external genitalia: vulvar synechiae may be a reversible predisposing factor for infection.
Summary
Clinical case
The report describes a febrile urinary tract infection in a 10-month-old girl with vulvar synechiae. According to the authors, the synechiae contributed to the infection and represented a reversible predisposing factor. The child presented with fever, decreased appetite, and reduced urine output.
Diagnosis, treatment, and outcome
The diagnosis was confirmed by urinalysis and urine culture, which identified Escherichia coli. Intravenous ceftriaxone was initiated, and manual separation of the synechiae was performed. Clinical improvement was observed within 48 hours, with normalization of body temperature and inflammatory markers. The abstract does not provide the ceftriaxone dose, duration of antibiotic treatment, or numerical laboratory results.
Implications for practice
The authors emphasize the importance of recognizing vulvar synechiae as a reversible predisposing factor for urinary tract infections. The practical conclusion of the report is the need for routine examination of the external genitalia in young girls, including during assessment for urinary tract infection.
Source
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Vulvar synechiae as a reversible predisposing factor for febrile urinary tract infection in an infant: A case report.
Reviewed by: DrugCard editorial team ·
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