Urinary tract infection in children How vigorous should investigation be?

doi:10.1136/bmj.309.6954.609a

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M Brindle

Queen Elizabeth Hospital, King's Lynn, Norfolk PE30 4ET
Department of Radiology, Guy's Hospital, London SE1 9RT.

EDITOR, - J M Smellie and colleagues concluded that it is essential to identify vesicoureteric reflux early by cystography in infants with antenatal dilatation of the urinary tract, infants and young children after a first urinary tract infection, and siblings and offspring of patients with renal scarring.1 They reiterated that ultrasonographic imaging is inadequate to exclude renal scarring. A paper from Gothenburg confirms that even experienced radiologists frequently fail to find renal scars.2

In general radiological practice plain radiography …