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Can UTI Lead To Pyelonephritis?

Posted on Thu, 15 May 2014

Question: Hello, a urinary infection with Enterobacter cloacae sbs cloacae can give rise to pielonephrithys? How serious concern it might be? Thank you

Answered by Dr. Arun (19 minutes later)

Brief Answer:
yes it can

Detailed Answer:
Hi
Thanks for writing to health care magic.
Urinary infection with that bacteria can extend upstream and can cause pyelonephritis .
Pyelonephritis is upper UTI affecting the kidneys.
It's definitely not a minor illness . But can be treated easily with intravenous antibiotics.
Usually treated for atleast 7 to 10 days.

Repeat urine culture after the course to see if it is gone.
Wishing her speedy recovery.
Regards

Dr Arun

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Arun (27 minutes later)

The problem is that the antibiogram shows it is resistant to most of the antibiotics...

Answered by Dr. Arun (30 minutes later)

Brief Answer:
look for sensitive ones

Detailed Answer:
Hi again

You need to give her those which are sensitive.
It's a multidrug resistant bug .
Definitely iv.
I hope there is atleast one or two antibiotics which are sensitive. If you can upload the reports, I will be better able to help.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Arun (1 hour later)

Here is the report, thank you.

Answered by Dr. Arun (13 hours later)

Brief Answer:
Meropenem would be the best choice

Detailed Answer:
The report says it is sensitive to ciprofloxacin ,norfloxacin, imipenem and meropenem.
Meropenem would be the best choice to give for at least 10 days.
Regards

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Above answer was peer-reviewed by : Dr. Shanthi.E