Urinary tract infection (UTI) is the most common bacterial disease responsible for long term morbidity in children [6]. Accurate and prompt diagnosis and treatment are crucial and may prevent renal scarring. Diagnosis of UTI requires a high degree of suspicion because of the nonspecific nature of symptoms in younger children such as unexplained fevers, gastrointestinal symptoms, and irritability. The diagnosis is established by a quantitative urine culture. Because of the high association of UTI with vesicoureteral reflux and other urinary tract abnormalities, imaging studies should be considered