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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Causing Stiff Neck And Cloudy Urine?

My 27 year old disabled son, John(contracted bacterial meningitis [proteus] at 8 days of age, suffered a massive stroke at approximately 2 wks of age, blew out the left front lobe, scattered to the right side, and at 6 weeks of age developed hydrocephalus and a vp shunt was placed......does not have fluent speech. Cognitively appears to understand everything said...unless he is tired or becoming or is ill, he does not answer. He walks, has gross and fine motor challenges, etc. He is very social in spite of no fluent speech. (He is terrific!) CURRENT PROBLEM: appears to have a stiff neck; does not have a temp, when I put heat on his back, it appears the stiffness goes away....he just went to bed and I noticed that he has cloudy urine.....Can you make anything out of this? Thanks in advance for any thoughts re: this...Mary...
Wed, 25 Jun 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Neck of course suggests meningitis, however, stiffness which disappears after applying heat suggests that probably the stiffness is due to muscular pain and not due to meningitis.
Absence of fever again rules out meningitis.

Presence of cloudy urine can be due to infection in urine or due to presence of amorphous urates in urine.
I suggest you to get a urine examination -routine and microscopy in order to rule out urine infection.
In case infection is detected, Antibiotic therapy will be instituted.

Thanks and take care
Dr Shailja P Wahal
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What Is Causing Stiff Neck And Cloudy Urine?

Hello and welcome to HCM, Neck of course suggests meningitis, however, stiffness which disappears after applying heat suggests that probably the stiffness is due to muscular pain and not due to meningitis. Absence of fever again rules out meningitis. Presence of cloudy urine can be due to infection in urine or due to presence of amorphous urates in urine. I suggest you to get a urine examination -routine and microscopy in order to rule out urine infection. In case infection is detected, Antibiotic therapy will be instituted. Thanks and take care Dr Shailja P Wahal