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Fever, Hip Pain, and Vomiting in a 7-year-old boy

	Answer 3 Preexisting microalbuminuria. Pyelonephritis, recurrent UTI, and delay in treatment all potentially increase the risk of scarring in the setting of UTI/vesicoureteral reflux. Microscopic proteinuria can develop after UTI in conjunction with renal scarring. One study found microalbuminuria in approximately 50% of children with known renal scarring. Click here to return to the questions
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