Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Body Pain And Chills. Klebseilla Bacteria In Urine Test. Taking Nitrofurantoin, Beta Blocker. Had Stroke And Hip Fracture. Advice?
Question: Mother, Female 85 40kg Chills in afternoon with body pain (muscle cramps?), vanishes by night and feels okay mornings, continuing since 45 days. No fever. Urine tested. Krebseilla bacteria 35K col/cc. Took Nitrofurantoin 100mg 1-x-1 for 5 days. Initially fever reaction 99 deg for 2 days, then subsided. Symptoms of chill and body pain continue. T3,T4,Tsh near normal. Takes various medication from many years - clopidogrel, statin, eptoin, beta blocker etc. Had stroke 10 years ago and hip fracture 3 years ago. Mobility restricted to use of walker.
Hello,
Thanks for the query.
The symptoms are suggestive of a severe case of Nitrofurantoin would be helpful only if its sensitive to klebsiella. The culture report should be seen again, and accordingly, a suitable an highly sensitive drug should be started.
Also if the colony count is very high, and its possible that injectable medications may be needed depending on the patient's immunity status. Repeating the urine culture would be helpful.
Right now, I would suggest you to do some investigations like Hemoglobin, total count, differential count, ESR and a urine routine and culture, malarial parasite.
Any lingering infection should show up. The reports will indicate the next step in treatment.
Hope, this answers your query. I will be available for follow up queries if any.
Regards.
Thanks for the query.
The symptoms are suggestive of a severe case of Nitrofurantoin would be helpful only if its sensitive to klebsiella. The culture report should be seen again, and accordingly, a suitable an highly sensitive drug should be started.
Also if the colony count is very high, and its possible that injectable medications may be needed depending on the patient's immunity status. Repeating the urine culture would be helpful.
Right now, I would suggest you to do some investigations like Hemoglobin, total count, differential count, ESR and a urine routine and culture, malarial parasite.
Any lingering infection should show up. The reports will indicate the next step in treatment.
Hope, this answers your query. I will be available for follow up queries if any.
Regards.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Jyoti Patil
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
