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Suggest Treatment For Severe UTI With Stone In Kidney

Posted on Mon, 15 Jun 2015

Question: If a person if suffering from a kidney stone and an infection is the first line of treatment to determine what the bacteria is that is causing the infection before doing any surgical procedures? My finance was taken to a local hospital in an incoherent state and was diagnosis with a kidney stone and an infection. Within a few hours they attempted to blast the kidney stone and placed a stent in the tube. Two days later she developed septimia and was in serious condition for a few day. Weeks later we are now seeing a specialist and he will not do the procedure to remove the kidney stone or stent because she now has another urinary tract infection. Her original infection cleared up but they could not perform the surgery because a few hours after being admitted to the hospital, in a confused state, while going to the bathroom with only one attendant she fell and refracture an ankle that already had plates and screws in it. They had to perform two surgical proceudres on her ankle immediately after seeing another doctor or she could have had permanent damage done to her ankle. Needless to say we will not be going back to the original hospital.

Answered by Dr. Dr. P. T. Patil (20 minutes later)

Brief Answer:
Read detail answer below.

Detailed Answer:
Hello
Thanks for highlighting the facts about the illness of your fiance.

She had severe UTI with stone in the kidney .
Ideal line of treatment in such case is to do urine culture to trace out the organisms causing UTI and to give appropriate antibiotic as per culture report and once the infection is under control then to do ESWL or Stenting.

Since she has landed in an accidental injury to her ankle and had toundergo surgery to fix it . I would suggest youto follow folloeing line of further treatment for kidney stone.

1)Please consult qualified Urologist for clinical assessment and get her routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.
2) Repeat urine culture after 2 weeks and if the infection is well controlled you may go for second sitting of ESWL.
3) She may need multiple sitting of ESWL till stone gets fragmented completely..

Once the stone is fragmented completely and she passes all the stone fragments and gets complete stone cleared as revealed by X-ray or Scanning .You may remove her stent

Hope I have answered your query ,please feel free to ask if you have more questions
I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (14 minutes later)

It is my understanding that once the blood is drawn it will take up to 24 hours or 48 hours to determine what type of bacteria is causing the infection. Staff members at both hospital where she has been treat told us that. Do you agree?

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Blood culture can also reval bacteria.

Detailed Answer:
Hello.

Thanks for follow up.
In a severe case of Septicemia blood culture will reveal the nature of bacteria and their sensitivity pattern .

However it is always advisable to do urine culture in cases of Urosepsis as it is more specific and will give number of colonies of organisms in urine .
Thanks and Regards.
Dr.Patil..

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar