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CPD: Obstetrics, gynaecology and urinary tract disorders

Case studies from the British National Formulary for Children — urinary tract infections

A four-year-old girl presents with a 24-hour history of urinary frequency and dysuria. Examination is unremarkable apart from mild suprapubic tenderness. She has idiopathic hypoparathyroidism, but there is no other medical history of note. A urine sample is positive for leucocyte esterase and nitrite on dipstick testing.