Kidney Infection in my 7-week old Levi
It's been awhile since I've been on here. My Levi developed a fever on Wednesday night. He was fine all day and then got fussy in the evening. I put him in his bouncer with the vibrator on and that calmed him down. I picked him up a half hour later and he felt really warm. I took his temp and he was 101.7. We rushed him to the ER at the children's hospital 25 minutes away from us and he was 103 by the time we got there.
Our hospital room flooded with 12-15 people and I started freaking out, thinking it was a real emergency and they had called an emergency code of some sort. I was crying and my husband pointed out that only one person was wearing a white coat, and two were wearing nurses scrubs--the rest were students/residents etc in training. Still, they were very concerned about his temperature and gave him a tylenol suppository right away, and attempted to start an IV. It took 7 tries for them to get one going. They drew blood and catherized him to get a urine sample. I was very nervous about the catherization because I thought it might damage his foreskin. I asked them to let me try to get him to pee in a cup since we EC at home--they agreed, but Levi wouldn't go--he was much too upset. I tried to nurse him, but he was too upset to latch on too. Holding him and frequently dipping the pacifier in sugary syrup was the only thing that would calm him down. They wanted to do a spinal tap to test for meningitis. at first we asked if we could wait for the other test results first, but the doctor explained that the results would take several hours, and up to several days to come in, and that if he had meningitis at this young age, each hour mattered, as sepsis takes over small bodies quickly. We consented and I sobbed in the hallway hearing his screams. They made us leave for that because they needed a sterile field. They also did a chest x-ray to check for pneumonia.
Most of the blood work came back quickly, and looked good. However, there was a lot of infection in his urine. He got an ultrasound of his bladder and kidneys and there was sign of some infection in his left kidney.
They kept us in the hospital for 3 nights while they continued to see if anything was growing on cultures of his blood, spinal fluid and urine. His urine was the only one that grew cultures, and once they were able to identify the strain of bacteria that was infecting him, they sent him home with the best antibiotics.
The kidney doctor visited us in the hospital and said we need to bring Levi back on aug 6th for a test that will determine if his urine flows back to his kidneys once it has already been in his bladder. He said there is about a 30% chance of this--and it is something he would most likely outgrow within 5yrs, but would need to continually be on a low dose of antibiotics to prevent infection until he outgrows it--if he even has this condition.
all of the pediatricians that visited us acted like he had this infection because he isn't circumcised. The kidney doctor said it could hypothetically increase his odds, but wouldn"t be the sole cause.
I know this isnt something you other mamas are likely to know much about, but let me know if you have any thoughts. Do you think that infant potty training could increase or decrease the chances of kidney/urinary infections. My initial thought is that it would decrease it, since he wouldn't be sitting in as many wet diapers, but I wonder if him holding his urine until I get him on the potty would make it worse. He does seem to hold it during the night until I nurse him and set him on the potty, but goes in his diaper all dayas well as on the potty.
also, I cloth diaper. Would this increase/decrease his chances? I would think decrease because he's more uncomfortable being wet, and lets me know quicker. I do change his diaper constantly--I check him before/after each feeding--which are like ever 1.5hrs and many times in between feedings. I do use detergent and bleach on my diapers--with extra hot water and extra rinses.
any thoughts? I am posting this in the intact-care section as well.
Happy wife and mama to two boys, Levi (5/14) and Cade (9/15)