2 Days Of Dysuria in Medicine / Internal Medicine — 16yo Child | Infectious Diseases | SMLE Q#349
SMLE Question #349
Medicine / Internal Medicine
Infectious Diseases
Last updated: February 2026
A 16-year-old girl presents with 2 days of dysuria and urinary frequency. She denies vaginal discharge, flank pain, fever, or chills. Examination shows suprapubic tenderness without costovertebral angle tenderness; pelvic examination is normal. Urinalysis shows pyuria and bacteriuria with positive nitrites and leukocyte esterase. A urine pregnancy test is negative. Which of the following best describes the most likely pathogenesis of this patient’s infection?
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