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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fever, Infected Kidneys, Need Dialysis. Taken Ertapenem, Meropenem. Vomiting, Diarrhea, Dark Face, Body Rashes After Dialysis. Solution?

My cousin bro having fever on and off for almost 2 weeks. Then when he was admitted the doctor said his kidney was infected due to fever and need to do dialysis because of edema . He is also a diabetic patient almost 20years. now the problem is the doctor said may be there is some bacteria infected and the medicine was given but suddenly now the RBCs and hemoglobin increased the normal level.he has taken ertapenem and also meropenem. the symptoms occurs after the dialysis vomiting and diarrhea. Now his face turns dark and body rashes and peels of skins. so now doctor suggested to admit in ICU. Dr do u think is it may be other viruses might infect his body? He is totally no energy and very weak and cant even take his food. please give me some solution...
Fri, 28 Mar 2014
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Internal Medicine Specialist 's  Response
Hello, this is tough to handle like these situations when you are the relative of a suffering person. When I check your clinical history,
Diabetic
Fever and infection in kidney.
Renal failure on dialysis and recent dialysis
Rashes peels of skin vomiting diarrhoea
Most striking point at present is, rashes and peel off skin, these things common with drug reaction.doctor should visualize exactly the nature
Of skin rashes, it may stevene jhonson syndrome due to drugs. Diabetic are prone to develop sepsis (spread of bacteria throughout the blood) especially from kidney source of infection.(may be pyelonephritis). Sepsis is very morbid state we have to treat the patient in icu setup with higher antibiotics. What those antibiotics are good for that patient. If patient renal failure because of sepsis than chance of recovery from dialysis is high. If it's diabetic neuropathy with chronic renal failure(ckd) we have to continue the dialysis. At present the care is correct, check once with your consultant if these reactions because of drug.
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Fever, Infected Kidneys, Need Dialysis. Taken Ertapenem, Meropenem. Vomiting, Diarrhea, Dark Face, Body Rashes After Dialysis. Solution?

Hello, this is tough to handle like these situations when you are the relative of a suffering person. When I check your clinical history, Diabetic Fever and infection in kidney. Renal failure on dialysis and recent dialysis Rashes peels of skin vomiting diarrhoea Most striking point at present is, rashes and peel off skin, these things common with drug reaction.doctor should visualize exactly the nature Of skin rashes, it may stevene jhonson syndrome due to drugs. Diabetic are prone to develop sepsis (spread of bacteria throughout the blood) especially from kidney source of infection.(may be pyelonephritis). Sepsis is very morbid state we have to treat the patient in icu setup with higher antibiotics. What those antibiotics are good for that patient. If patient renal failure because of sepsis than chance of recovery from dialysis is high. If it s diabetic neuropathy with chronic renal failure(ckd) we have to continue the dialysis. At present the care is correct, check once with your consultant if these reactions because of drug.