A 7-year-old-male presented with a history of acute onset of hematuria, dysuria, and suprapubic pain. The patient also described urinary frequency, urgency, urge urinary incontinence, and passage of blood clots in the urine. No associated fever, URTI, flank pain, or bleeding from any other site. The patient had an uneventful birth history with normal developmental milestones.
Investigations B.P. -Normal. Hemogram Hb- 12.3 g/dL Total count- 9.4 × 103/μL Neutrophils- 38.9% Lymphocytes- 45.8% Monocytes- 8.9% Eosinophils- 5.7% Basophils- 0.7% PBS- Normocytic Normochromic Urine Routine and Microscopic RBCs- 40-45 Pus cells- 25-30 Specific gravity- 1.03 Nitrate- Negative RFTs - Normal Complement C3 - 109 mg/dL Urine culture- Sterile Urine PCR for adenovirus and Mycobacterium tuberculosis- Negative USG - A focal mucosal lesion with bladder wall thickening in the posterior and right lateral…
