Abstract

GARCIA AGUDELO, Lorena; HOLGUIN BARRERA, Mónica Liseth; VELANDIA SIABATO, Duván Felipe  and  SANCHEZ CORONEL, Natalia. Urolithiasis in infants: a diagnostic and therapeutic challenge. A case report. Pediatr. (Asunción) [online]. 2023, vol.50, n.3, pp.204-209. ISSN 1683-9803.  https://doi.org/10.31698/ped.50032023009.

Urinary lithiasis in children are due to nutritional, environmental, climatic changes, genetic predisposition, urinary tract infections, underlying metabolic and/or anatomical anomalies. Its incidence is 1-3%, which has increased in the last decade. We present the case of a 22-month-old male infant, who presented with stones at the urethral level with an associated infectious process, and who required an invasive procedure for the extraction of a stone. The patient had documented hyperuricosuria, hypomagneseuria and hypercalciuria, without a family history of kidney stones. Urolithiasis in infants is relevant given the role it can play in the etiology of urinary infection and the progressive deterioration of kidney function. Its treatment encompasses comprehensive multidisciplinary management due to its recurrent nature and the fact that there is still no curative treatment. It is important to identify risk factors, define strategies for early diagnosis, preventive measures and less invasive procedures for stone extraction.

Keywords : Nephrolithiasis; infant; urinary retention; infections; cystotomy; case report.

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