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

Young Choi, Ji Hyen Lee, Jung Won Lee
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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. (Ewha Med J 2021;44(2):46-49)
膀胱输尿管反流和慢性肾脏疾病的罕见病例在10岁男孩无症状细菌尿
原发性膀胱输尿管反流是一种常见的由基因决定的疾病,与不同程度的肾脏瘢痕形成有关,是儿童慢性肾脏疾病的主要原因之一。膀胱输尿管反流常见于5岁以下尿路感染患者。然而,我们报告一个罕见的病例高度膀胱输尿管反流和慢性肾脏疾病在一个10岁的男孩谁被转介到儿科偶然发现无症状细菌尿。我们的病例表明,高级别膀胱输尿管反流患者在出现时伴有肾功能下降、膀胱和肠道功能障碍,更有可能发展为慢性肾脏疾病。(梨花医学杂志;2021;44(2):46-49)
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