Asymptomatic UTI
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A 20-year old female presented with low back pain but no relief from NSAIDs. She later developed fever along with the back pain. Tests found elevated white blood cells and bacteria in her urine. A urine culture identified Klebsiella Aeroginosa bacteria at 50,000 colonies. An ultrasound found fullness in her renal pelvis, indicating a urinary tract infection that had spread from her bladder to her kidneys. She was prescribed antibiotics but due to a mistake, amikacin was advised instead of the correct antibiotic. She will follow up with an OB/GYN for a second opinion on treatment and continue other medications.
Asymptomatic UTI
- 1. Case Presentation Dr. Richin Koshy
- 2. Asymptomatic UTI тАв 20 yr old female came with complaints of lower back pain, acute in onset тАв No h/o of trauma/strenous exercise тАв r/o Appendicitis/ovarian torsion/ectopic pregnancy/Dysmenorrhea тАв D/D тАУ Musculoskeletal Sprain тАв Advised тАУ NSAIDS
- 3. Visited after 2 days with the same complaints no relief Advised NSAIDS 2 Days later comes up with fever along with low back pain ADV тАУ CBC/ESR Follow up with reports тАУ Neutrophils and ESR up тАв Again Advised Urine R/E , Urine C/S, USG тАв Pus cells up, Klebsiella Aeroginosa 50,000 colonies тАв USG тАУ Fullness of Renal Pelvis тАв Urine C/S тАУ Sensitivity to Amikacin and Netilimicin тАв Intermediate sensitivity to тАУ Ciprofloxacin
- 4. Examination and Diagnosis тАв UTI is caused by many types of bacteria, the most common of which are gram negative *Escherichia coli*. тАв Symptoms of UTI include dysuria (painful urination), increased frequency of urination, and occasionally hematuria (blood in the urine). Klebsiella pneumoniae urinary tract infection (UTI) is uncommon compared to other bacterial UTIs, but it is particularly associated with use of urinary catheters. K. pneumoniae can cause upper or lower urinary tract inflammation тАУ cystitis, pyelonephritis, and renal abscesses. It is generally indistinguishable from other UTIs.
- 5. Treatment given тАв Tab Norflox 400 mg BD тАв Tab Rantac 150 mg BD тАв Made a mistake advising Tab Amikacin due to a ignorant mix up тАв Called up immediately for follow up for further plan in management тАв Will be following up with OBS/GYN for second opinion regarding Amikacin тАв Advised Citalin for further management