Hematuria in the Newborn

Jernigan, Stephanie

doi:10.1016/j.clp.2014.05.008

Cited by 10 publications

(4 citation statements)

References 60 publications

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“…UTI is a common cause of gross or microscopic hematuria [9]. In neonates, the clinical manifestations include fussiness, lethargy, feeding intolerance, vomiting, and diarrhea; fever is present in only 20-40% [10].…”

Section: Discussionmentioning

confidence: 99%

Gross Hematuria as a Presenting Feature of Posterior Urethral Valves in a Neonate with Normal Antenatal Sonograms

2020

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Background: Posterior urethral valves (PUVs) are usually suspected during antenatal sonograms or by postnatal evidence of bilateral hydronephrosis with enlarged bladder. Gross hematuria as an initial manifestation of PUV with a history of normal antenatal sonogram is very rare. Methods: This is a retrospective chart study. Results: We describe a nine-day-old male neonate who presented with gross hematuria and was later found to have a urinary tract infection (UTI) and severe acute kidney injury (AKI). The mother apparently had normal antenatal sonograms with no evidence of fetal hydronephrosis. The child did not have postnatal renal bladder sonogram done until gross hematuria occurred at Day 9 of life. Sonogram showed bilateral severe hydronephrosis and hydroureter with enlarged bladder. The patient underwent ablation of the PUVs after initial bladder decompression with indwelling urethral catheterization. His AKI resolved after prompt treatment of UTI and PUV ablation. Conclusions: This report emphasizes the importance of a high index of suspicion for obstructive uropathy in a newborn with gross hematuria irrespective of prenatal sonogram findings.

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Section: Discussionmentioning

confidence: 99%

Gross Hematuria as a Presenting Feature of Posterior Urethral Valves in a Neonate with Normal Antenatal Sonograms

2020

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“…7,8 On the other hand, in rare cases, there is an effect of the mother's hormones that can lead to some blood flowing from the womb of the child and its quantity is small, and this phenomenon disappears after a short time and it does not lead to a health problem. 9 In Iraq, we did not find any study that sheds light on the cases of hematuria that appear in some newborns, so the current study aims to know the incidence of this disease among newborns in the city of Diwaniyah and to determine its causes and the most appropriate tests for its diagnosis and appropriate treatment. Also, this study may pave the way for other studies within the framework in addition to the contribution of current study to health awareness about the reasons that make the fetus after birth or the newborn is more susceptible to this disease.…”

Section: Introductionmentioning

confidence: 99%

Causes and Treatment of Hematuria in Newborns

Abbas¹,

Kazaal²

2023

IJDDT

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Background: Hematuria is one of the cases that has started to increase in newborns, but studies on the causes and treatment of this condition are very limited, especially in Iraq. Therefore, the current study aims to determine the prevalence of this condition and monitor its causes and appropriate treatment. Methods: The current study includes the collection of questionnaires and medical examinations from 35 newborns (ages between 2 hours to 2.5 months) suff ering from hematuria for various reasons. Samples were collected during the period from 2/1/2021 to 28/3/2021, and information and examinations for each diseased case were collected. Results: The results of the study showed that most of the newborns had gross hematuria (91%) compared to microhematuria (9%), especially males and that the main causes of hematuria in newborns were due to bacterial septicemia (37%) and urinary tract infections (32%), congenital malformations (14%), and renal artery thrombosis (11%). The results also showed that most of the children who suff er from hematuria whose mothers suff er from health problems during pregnancy, the most important of which are anemia (31.4%), urinary tract infection (UTI) (14.2%) and gestational diabetes (14.2%). The results of this study also showed that the treatment of hematuria depends on the diagnosis of the pathogen, and the CT scan was a basic examination for all cases, in addition to that, the microscopic examination and the culture of urine were also used. Antibiotics and surgeries were the appropriate treatment in most cases of hematuria. In conclusion, blood in urine is a pathological condition that needs diagnosis and treatment as soon as possible to avoid complications or disorders that may threaten the newborn’s life.

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“…Gross hematuria is present in 50% of RVT [1,20]. Other findings include hypertension, oliguria and renal insufficiency [20]. The incidence of neonatal hypertension remains low: less than 2%.…”

Section: Introductionmentioning

confidence: 99%