Case 347

Medical history

Male patient, 4 months old, with prenatal diagnosis of bilateral hydronephrosis, not investigated in the neonatal period and without prescription of prophylactic antibiotics. At 4 months old, he presented the first febrile urinary tract infection (UTI), treated with cephalexin. After treatment, a voiding cystourethrogram (VCUG) and, then, a static renal scintigraphy (99mTc-DMSA) were requested, as well as antibiotic prophylaxis with nitrofurantoin was started.


Considering the clinical history and the images presented, what is the most likely diagnosis?


Test question

[UFF - Medical Residency 2014] Female child, 4 years old, presents recurrent urinary tract infection and vesicoureteral reflux. The most effective exam to demonstrate an eventual renal scar is:

Leave a Reply