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On Antibiotics For Fever After Being Diagnosed With Septicimia Following Right Ureter Cystoscopy. Widal Positive And All Other Parameters Normal.
my husband is 43 years old 17 th oct 13 he has under gone a right ureter cystoscopy surgery for stone and dj stiue has been placed from right kidney. HIS STAND HAS BEEN REMOVED on 13 nov 13 .he caught fever on 16 nov and hospitalised on 18th nov diagnosied septicimia received morepenem iv bd for 10 days. when medicine stopped he again caught fever after 7days again after two days after taking antibiotics his fever gone. after seven days when antibiotics stopped he caught fever since than he is on antibiotics and suffering from fever of and on tends to rise at night.his widal is positive from one and a half month he is having small contracted left kidney his current cretinine is 1.5,esr 48,urine r/m normal urine culture sterile, doctors are giving antibiotic forepenem to treat fever of un known origin still he is taking antibiotics and paracetamol but showing no improvement all pathological tests shows normal results mild inflamation is there in kidney because there is two stones are there in right kidney and two stones are there in left kidney except fever he does not have any complaint in urine stomach liver cough glands,nothing
Wed, 5 Feb 2014
Hello
Thanks for your query,based on the facts that you have posted it appears that your husband has undergone Ureteroscopy and D.J stenting for removal of ureteric stone and since then has fever which is not responding to antibiotics .
This is what is called as Urosepsis and known to occur in few patients after getting treated for ureteric stone.
Since his urine culture is negative for bacteria and he has been on Meropenum for almost one month you may opt to change the antibiotics to simple like Ciprofloxacin and Nitrofurantoin for 2 more weeks.
Ensure he drinks more water to keep his urine dilute .
Hope this will get resolved soon.
Dr.Patil.
Thanks for your query,based on the facts that you have posted it appears that your husband has undergone Ureteroscopy and D.J stenting for removal of ureteric stone and since then has fever which is not responding to antibiotics .
This is what is called as Urosepsis and known to occur in few patients after getting treated for ureteric stone.
Since his urine culture is negative for bacteria and he has been on Meropenum for almost one month you may opt to change the antibiotics to simple like Ciprofloxacin and Nitrofurantoin for 2 more weeks.
Ensure he drinks more water to keep his urine dilute .
Hope this will get resolved soon.
Dr.Patil.
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