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A. Barry Belman, MD, MS

JAMA. 1981;246(1):74.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The article by Berger et al in this issue of THE JOURNAL (p 56) points out the possible end results of a specific combination of urologic events in children. In 24 of the 25 patients described, urinary tract infection was noted on presentation. It is likely that infection played a role in the 25th patient as well. In the boys, obstruction was present in most; in the girls, however, primary vesicoureteral reflux was the only anatomic abnormality found in all except one.

The fact that these patients present almost exclusively with urinary tract infection should alert us to the importance of that finding in young children. Studies have reiterated the importance of evaluating children with culture-documented (>105 colonies per milliliter) urinary tract infection and confirm the high incidence of anatomic abnormalities that exist in that group.¹ Vesicoureteral reflux is not only the most common but also the most significant . . . [Full Text PDF of this Article]

Author Affiliations
Children's Hospital National Medical Center George Washington University School for Health Sciences Washington, DC

Footnotes
Address editorial communications to the Editor, 535 N Dearborn St, Chicago, IL 60610.

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