Otitis media (OM) and respiratory tract infections are the common infections diagnosed in pediatric emergency and outpatient settings, and occasionally occur in association with urinary tract infection; however, the significance of combined infections in the pathogenesis of urinary tract infection remains unproved. Upper respiratory tract infection and OM occurs in 13–30 % of patients with UTIs . OM
is common worldwide and consists of inflammation of the middle ear drum and the inner ear