AI Article Synopsis
- Pediatric fever is a common reason for emergency department visits, often linked to viral infections, but pyelonephritis is the most common bacterial cause when no source is identified.
- In young children who can't urinate on demand, a straight catheter is used to obtain a sterile urine sample, though it's generally a safe and frequent procedure.
- A case involving a girl with a knotted, retained catheter highlights this rare complication and emphasizes the importance of understanding the removal technique to prevent unnecessary transfers to specialized facilities.
Article Abstract
Pediatric fever is one of the most common presenting complaints to emergency departments (ED). While often due to a viral illness, in young children without a source the most common bacterial infection is pyelonephritis. For this reason, when no focal source can be identified a urinary specimen is recommended. In young children who are unable to urinate on demand, a straight catheter is required to obtain a sterile specimen. This is generally a benign procedure and is performed frequently in EDs. We report a case of a young girl who underwent straight bladder catheterization and was subsequently found to have a retained catheter that had become knotted in the bladder. This case report highlights a rare complication of this common procedure and describes the technique required to remove the catheter. An understanding of these issues may avoid the need for transfer to a pediatric facility or for subspecialty consultation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965141 | PMC |
| http://dx.doi.org/10.5811/cpcem.2017.11.36438 | DOI Listing |
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