6. What condition is suggested by the young child's clinical evidence provided? Answer: The data for this young girl suggests Chronic Pyelonephritis.  Chronic Pyelonephritis is classified by urinary tract infections (UTI) that occur more than twice in 6 months, last longer than two weeks, or are nonresponsive to treatment.  In this case, the young girl  has vesicoureteral reflux, which is commonly found in young children, causing her to have continuous UTI infections.  The presence of bacteria, white blood cells, renal epithelial cells, granular and white blood cell casts, and a large amount of protein in the chemical and microscopic tests are also indicative of this disease. Back to Questions