Social Marginalization, A Problem in Controlling Childhood Chronic Kidney Disease

We report here the case of a 14-year-old male patient previously treated for a bilateral obstructive uropathy secondary to a urinary lithiasis and the associated urinary infection. Upon hospital admission, he was diagnosed with undernourishment, chronic renal failure, urinary infection, an endoparasitic disease (ascariasis) and sepsis. After clinical and surgical treatment the patient´s condition improved. The patient has been monitored over the course of seven years and this revealed a gradual deterioration due to a combination of factors: social marginalization, family illiteracy, irregular adherence to treatment, poor attendance of medical appointments, and incomplete health coverage (Seguro Popular).