The Turkish Journal of Pediatrics 2006 , Vol 48 , Num 3
Concurrent septic arthritis and urinary tract infection in a patient with nephrocalcinosis and vesicoureteral reflux
1Departments of Pediatrics, Abant Izzet Baysal University, Izzet Baysal Faculty of Medicine, Bolu, Turkey
2Departments of Radiology, Abant Izzet Baysal University, Izzet Baysal Faculty of Medicine, Bolu, Turkey
3Departments of Orthopedics and Traumatology, Abant Izzet Baysal University, Izzet Baysal Faculty of Medicine, Bolu, Turkey
Baysoy G, Gürel S, Çakıcı H, Uyan AP. Concurrent septic arthritis and urinary tract infection in a patient with nephrocalcinosis and vesicoureteral reflux. Turk J Pediatr 2006; 48: 275-278.

An eight-month-old boy who presented with a 15-day history of vomiting was revealed to be suffering from urinary tract infection and nephrocalcinosis caused by vitamin D intoxication. During the treatment of vitamin D intoxication (alendronate, 5 mg/day), he developed urinary tract infection and septic arthritis of the left hip joint. Escherchia coli was isolated from his blood, urine, and joint fluid culture. He was operated, joint drainage was performed and appropriate intravenous antibiotic treatment was given for four weeks. After discharge, a voiding cystoureterogram revealed grade 4 vesicoureteral reflux in the right ureter. Combination of complex urinary anomalies associated with stagnation of urine flow and altered urinary dynamics, and metabolic urinary anomalies, such as hypercalciuria/nephrocalcinosis, may facilitate the occurrence of rare systemic complications of urinary tract infection. Keywords : nephrocalcinosis, urinary tract infection, septic arthritis, vitamin D intoxication, infant

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