HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Could UTI Be The Cause For Seizure?

My uncle who is 63 had a seizure the other day for the first time ever. He was rushed to the hospital via ambulance, but remembers none of it. Upon ER tests including a cat scan, they diagnosed him with a UTI, and put him on Cipro, and was recommended he make an appointment with a neurologist for an MRI. I was wondering could the UTI have been a cause for the seizure?

Tue, 16 Sep 2014
Report Abuse
Neurologist 's  Response
Infectious diseases in people over the age of 60-65 are one of the most common causes for seizures or seizure like disorders which occur for the first time as well as changes in mental status in an otherwise healthy individual with no history or cause for problem. I think that in this case the call is a good one with one single detail that could be problematic for your uncle. The use of CIPROFLOXACIN. Cipro as well as all the other antibiotics in this class of drug known as FLUOROQUINOLONES can actually LOWER the thresh hold for seizure activity and therefore, the risk of your uncle having another episode while being treated is higher than if he were on something that did not predispose him to consulsive activity. If the ER simply put him on the drug without doing a culture and sensitivity then, I would still continue the medication but simply be very aware of this as a risk factor of the drug. Hopefully, he doesn't need to be on it long. If they do have a culture and sensitivity on the urine specimen then, he could find out from the hospital record what other options he has in terms of antibiotics that could be used if he still has to use it for any length of time...again, careful not to choose something that increase his risk for seizures.

The idea of a neurologist to visit and follow up with him is also a good one in that I think it's worth while getting a full neurological checkup to make sure we're not simply ascribing these seizures to something obvious like UTI and missing a more insidious or hidden cause that could later come back to cause problems after the UTI is long gone.

If you would like to address any other questions regarding this or other matters feel free to look me up directly on this network at the following URL:

http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474.

Please rate this answer with a STAR RATING of your choice if you believe the information I've provided was of value to the question you posed.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Epileptic seizure


Loading Online Doctors....
Could UTI Be The Cause For Seizure?

Infectious diseases in people over the age of 60-65 are one of the most common causes for seizures or seizure like disorders which occur for the first time as well as changes in mental status in an otherwise healthy individual with no history or cause for problem. I think that in this case the call is a good one with one single detail that could be problematic for your uncle. The use of CIPROFLOXACIN. Cipro as well as all the other antibiotics in this class of drug known as FLUOROQUINOLONES can actually LOWER the thresh hold for seizure activity and therefore, the risk of your uncle having another episode while being treated is higher than if he were on something that did not predispose him to consulsive activity. If the ER simply put him on the drug without doing a culture and sensitivity then, I would still continue the medication but simply be very aware of this as a risk factor of the drug. Hopefully, he doesn t need to be on it long. If they do have a culture and sensitivity on the urine specimen then, he could find out from the hospital record what other options he has in terms of antibiotics that could be used if he still has to use it for any length of time...again, careful not to choose something that increase his risk for seizures. The idea of a neurologist to visit and follow up with him is also a good one in that I think it s worth while getting a full neurological checkup to make sure we re not simply ascribing these seizures to something obvious like UTI and missing a more insidious or hidden cause that could later come back to cause problems after the UTI is long gone. If you would like to address any other questions regarding this or other matters feel free to look me up directly on this network at the following URL: http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474. Please rate this answer with a STAR RATING of your choice if you believe the information I ve provided was of value to the question you posed.