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Urine culture says no aerobic pyogenic organism grown after 48 hrs incubation at 37 degree celcius. What does this mean ?

DOCTOR OF THE MONTH - Jul 2016
Jul 2016
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Urologist
Practicing since : 1971
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Hello , My Father gone through Heart bypass a month back , surgery was successfully done ( ECO shows his heart is working 45% or work more by 10% as he'll recover ) during the surgery he got some problem in his kidney as well cretanine went " 3.5 " on 23.10.2013 now it is " 2.6 " 28.10.2013 and doctors said cretanine may decreased to " 2 " and he has 5 dylasis on alternate days after his surgery ..... now all the fluid is out and no swelling is there ... The size of kidney is normal and his urine culture test says " No aerobic pyogenic organism grown after 48 hrs incubation at 37 degree celcius " what does it mean ? he is passing urine as a normal one like he's taking liquid intake upto 1.25 liters and passes around the same +/- 2% , and motion is normal as well ......... so what is the problem you noticed as per above given detail. thnx & regards XXXXX
Posted Wed, 4 Dec 2013 in Kidney Conditions
 
 
Answered by Dr. P. T. Patil 24 minutes later
Brief Answer: This could be due to Diabetic Nephropathy. Detailed Answer: Hello Thanks for your query.Based on the facts and report of your father that you have posted it appears that your father who is known to have diabetes since 20 years has undergone bypass surgery month back and had high creatinine levels after surgery and was dialysed four times. Urea and creatinine are end products of protein metabolism and excreted by kidney in urine The persons with ill controlled diabetes over a period of long time are prone to get changes of diabetic nephropathy resulting into diminished function of the kidneys which is indicated by raised levels of blood urea and serum creatinine The report of ultrasound scanning and urine culture show normal sized kidneys with no element of infective process in the kidneys.L Please consult qualified Nephrologist to keep his diabetes and creatinine levels well controlled.at this level of 2mg% which is quite satisfactory and acceptable for his age. Hope I have answered your query. If you have any more questions please feel free to ask me I shall be happy to help you . Thanks and Regards. Dr.Patil.
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Follow-up: Urine culture says no aerobic pyogenic organism grown after 48 hrs incubation at 37 degree celcius. What does this mean ? 7 days later
Sir , Thanks for the reply......... latest reports by 6.11.2013 Urea : 83 mg/dl Creatinine : 2.81 mg/dl Uric Acid : 8.90 mg/dl Alkaline Phosphatase : 551 U/L Total Protein : 2.60 g/dl Calcium : 8.00 mg/dl phosphorus : 3.30 Sodium : 129 mEq/L Potassium : 4.69 mEq/L Chloride : 97 mEq/L HB : 10.40 g/dL PCV : 30.60 RBC Count : 3.52 RCDW : 15.10 TLC : 12.90 DLC ( Segmented Neutrophils ) : 85.40 Platelet Count : 314 Medication Priscribed : 1.) Tab. Dytor 40mg ( twice a day [ 8 AM AND 3 PM ] ) 2.) Tab. Cordarone 200mg ( Once a day [ anytime ] ) 3.) Tab. Carca 6.25mg / Cardivas 6.25mg ( twice a day [ 8 AM AND 8 PM ] ) 4.) Tab. Minipress XL 2.5mg ( twice a day [ 10 AM AND 10 PM ] ) : BP 5.) Tab. Clopivas AP 75 ( once in a day [ bed tym ] ) : 6.) Tab. Shelcal 500mg ( ( twice a day [ after BF AND after Dinner ] ) : Calcium 7.) Cap. Active D 0.25mg ( once a day [ anytime ] ) : PRESCRIBED WHEN PTH : 285.7 ON 31.10.13 8.) Tab. Nefita ( Once a day [ ABF ] ) : 9.) Cap. Pentocid 40mg ( Once a day [ BBF ] ) : Gas 10.) Tab. Pentocid 40mg ( Once a day [ B Dinner ] ) : Gas 11.) Syp. Sirbiline ( 2 Tsp [ 1/2 Hr. b4 every meal ] ) : Hunger 12.) Tab. Domstal 10mg ( Thrice a day [ 1/2 Hr. b4 every meal ] ) : Stop taking 13.) Zytee Lotion LA ( 4-5 Times a day ) : on Tounge ( Taste maker ) 14.) Tab. Crocin Pain relief ( If Fever ) : Observe Fever on Alt. Days ( 1/2 Dose @ Fever 99-100 and , 1 Dose @ Fever 101-102 ) 15.) Tab. Nefrosave Forte ( twice a day ) : 16.) Inj Vintor 4000 IU ( Once a week ) : Not yet started 17.) Cap. Silofast 4mg ( Once a day [ anytime ] ) : ........... Please consider the above medication going on ..... and please tell is there any medicine above by which sugar shoots...... ............ Urine passes as normal one to 1 Ltr in 24 hoursfrom last 3 days , before that Urine was 1.20-1.30 Ltrs in 24 hours as intake is 1 Ltr - 1.25 Ltrs. thnx nd regards. XXXXXXX XXXXXXX
 
 
Answered by Dr. P. T. Patil 3 hours later
Brief Answer: Blood sugar never shoots up with any medicine. Detailed Answer: Hello Thanks for follow up. His urea and creatinine levels are stable and need to take medications as per advice of Nephrologist.to be maintained at this level Please note that blood sugar never shoots up with any medicine. Thanks and Regards. Dr.Patil.
Above answer was peer-reviewed by
 
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