Emergency Physician (Pediatric) Questions Urinary infections

Fever and painful urinating in baby

My 6 month old child has a 102 fever and is crying when she pees. Her diapers smell weird too. What could be causing this?

2 Answers

Baby likely has a UTI. Requires urine specimen for culture plus antibiotics. Urine culture will confirm whether or not bacteria causing UTI will be sensitive to prescribed antibiotics. Baby should be worked up with ultrasound plus VCUG (Voiding bladder study) to rule in or out any anatomic/structural abnormality, if she has more than one febrile UTI.
This is a possible kidney infection and urine needs to be tested immediately.