Escherichia Coli Over Past in Pediatrics — Case | Pediatric Nephrology | SMLE Q#12420

SMLE Question #12420

Pediatrics Pediatric Nephrology

Objective: OBJ-436

Last updated: February 2026
A 4-month-old boy has had two culture-proven febrile urinary tract infections with Escherichia coli over the past 3 months, each resolving with oral antibiotics. He has normal growth and development, and physical examination is unremarkable. His clinician plans imaging to assess for urinary tract abnormalities that may predispose to recurrent infection. What is the most appropriate initial imaging study?

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