Recurrent Febrile Urinary Tract Infections in a Five-Year-Old Girl

Urinary tract infections (UTIs) are one of the most common bacterial infections of childhood and in pediatric urology. Medical history, examination findings, and clinical course usually vary with the patient's age. Hence, there are no specific clinical features that are strictly associated with UTI in infants or children. This report presents a five-year-old female patient with spina bifida occulta and recurrent history of febrile UTIs diagnosed with detrusor sphincter dyssynergia over the last year. Urodynamic study confirmed an overactive uroflow pattern with bladder outlet obstruction (BOO) and high flow obstruction with long voiding time and terminal dribbling. The aim of this report is to showcase a typical presentation of secondary detrusor overactivity to bladder outlet obstruction in a patient with a coincidental finding of spina bifida occulta and to emphasize the importance of early treatment intervention in decreasing the risk of future complications such as UTIs.