The Fatal Outcome of a Child with a Delayed Posterior Urethral Valve Diagnosis in a Low Income Country: A Case Report and Take Home MessagesFrancky Teddy A Endomba1*, Jan René Nkeck1, Joel Noutakdie Tochie1, Junette MA Metogo2 and Jacqueline Ze Minkande2,3
- *Corresponding Author:
- Francky Teddy A Endomba
Department of Medicine and Biomedical Sciences
University of Yaoundé I, P.O. box 1364
E-mail: [email protected]
Received date: July 17, 2017; Accepted date: July 20, 2017; Published date: July 27, 2017
Citation: Endomba FTA, Nkeck RJ, Tochie JN, Metogo JMA, Minkande JZ (2017) The Fatal Outcome of a Child with a Delayed Posterior Urethral Valve Diagnosis in a Low Income Country: A Case Report and Take Home Messages. J Nephrol Ther 7: 297. doi: 10.4172/2161-0959.1000297
Copyright: © 2017 Endomba FTA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: When faced with early urinary tract infections in infants, there is a need to do diagnostic imaging to exclude urinary tract malformations. Delayed diagnosis of this condition could lead to serious complications. Case presentation: We received a 2 months old male infant referred for better management of an acute kidney injury (AKI) with septicemia. He had a past medical history of febrile urinary tract infection. Our diagnosis was that of acute kidney injury and septicemia associated to a posterior urethral valve. The initial treatment included broad spectrum antibiotics, management of AKI complications and vesicostomy to relief the urinary obstruction prior to valve ablation. We unfortunately lost the infant on day 3 following surgery from severe refractory hyperkalemia and a uremic syndrome. Conclusion: This case is a call to clinicians' attention in low income countries to always check for urinary tract malformations when confronted with an infant presenting a febrile urinary tract infection.