We read with interest the article by Cara Fuentus et al. 1 reporting a case of bilateral ureteric stones in an infant presenting with non-specific signs and symptoms. We would like to share a recently seen similar case, which was difficult to diagnose as there was no dilatation of the renal collecting system.An 11-month-old boy presented with sudden onset of anuria for the past 36 h. Apart from a couple of watery stools, the child had been reasonably well. He was the fourth born to second-degree consanguineous parents. The first sibling was a boy who died at 8 months of life supposedly of renal failure. Two subsequent elder sisters were reported to be well. On examination, the patient was reasonably content and well perfused with stable vital signs and mild periorbital puffmess. Investigation revealed elevated creatinine of 2.8 mg/dl, but normal electrolytes (sodium: 130 mmol/1 and potassium: 4.2 mmol/1).
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