Pseudomonas aeruginosa is an opportunistic infectious agent, which is known to cause severe urinary tract infections (UTI) in children. As these organisms are intrinsically resistant to commonly used antibacterial and because new resistances develop while on treatment, infections caused by these organisms are difficult to treat. This case highlights the risk factors for the development of UTI by this organism, the need for periodic updation of local hospital antibiograms for this emerging infection, and suggests a revisit into recommendations for indications for invasive urinary tract procedures like micturating cystourethrogram (MCU) and UTI prophylaxis.