5-month-old Boy in Pediatrics — Case | Pediatric Infectious | SMLE Q#11125

SMLE Question #11125

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: February 2026
A 5-month-old boy has 1 day of fever and foul-smelling urine. He has no cough, rhinorrhea, vomiting, or diarrhea. Physical examination shows no focal source of infection. He was circumcised at birth. Which of the following features most strongly supports suspicion of a urinary tract infection?

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