cache
Forum Guru
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28yo female diabetic pt presented with h/o fever and increased freq of urine. after taking urine for culture she was treated with IV ampicillin and gentamycin. subsequently the culture report showed E.Coli, which was sensitive to both ampi and genta . she is still having fever and same urinary sym. blood culture revealed E.coli. What would be the most likely cause for her sym?
a. In vivo resistance of the organism
b. perinephric abscess
c. papillary necrosis
d. inadequate dosage
e. infecn elsewhere in the body
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| son64
Forum Elite
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I think B.
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| jil
Forum Elite
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d inadequate dosage
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| usmle_stp2
Forum Newbie
Topics: 1
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d. inadequate dose
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| lucky
Forum Guru
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Posts: 505
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yes i would go for d too
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| arybehry
Forum Newbie
Topics: 3
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hi i think its D
as diabetics people require larger dose of antibiotics due to their decreased immunity status
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hi
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| mdwannabe
Forum Guru
Topics: 37
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B.... abscess would not be reached with A/B.
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| dnaprimase
Forum Junior
Topics: 2
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hey this looks like inadequate dose since it is the same organism still cultured, moreover diabetics require an increased dosage of antibiotics for effective tx
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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B..
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| cache
Forum Guru
Topics: 130
Posts: 275
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The urinary tract is a very frequent site of infection. Symptoms may be very mild or nonexistant in the elderly. Ascension of the infection from the bladder to the kidneys can result in severe complications and FUO's. Pyleonephritis can result in an FUO even when the patient is receiving proper antimicrobial therapy. Oftentimes the pyelonephritis is complicated by a perinephric abscess, urinary tract obstruction, or intrarenal suppuration (focal bacterial nephritis, intrarenal abscess). Urine cultures maybe negative when obstruction is present or when perinephric abscesses are present. Perinephric abscesses occur frequently in diabetics and in patients with preceding urinary tract surgery, infections, obstruction, or stones.
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| jil
Forum Elite
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Posts: 185
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good one thanks
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| tuesday
Forum Senior
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Posts: 207
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I agree w/ cache......
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