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How can persistent fever with urinary tract infection be managed?

Wednesday, 13 July 2011
Answered by: Dr Sai Praveen Haranath
Specialist in Pulmonary and Critical Care MedicineKaiser Permanente Medical Center/The Permanente Medical GroupWalnut Creek, CA 94596
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Q. My 69 years old mother has had a persistent cough off and on for the last one year. She was recently diagnosed with a urinary tract infection (UTI) with a fever of 104.7 Fahrenheit. She was given a shot of Rocephine and an oral antibiotic. Two days later, she was still running a fever of 100 - 102 Fahrenheit, so the doctor gave another shot of Rocephine. Three days later, she is still running a fever in the afternoons and at night of 100- 101.5 Fahrenheit. Urine culture showed that E.coli bacteria cause UTI.

A.  Persistent fever with urinary tract infection needs to be investigated. The first thing is to make sure the E. coli is sensitive to the antibiotics being received. The next thing to do would be to make sure there is no involvement of the upper urinary tract by stones, blockages or kidney infection. Sometimes, imaging studies like an ultrasound or CT may be needed as well as blood tests to see if the body is mounting a response to the infection. Keep her well hydrated and have her seen by her physician and also discuss these suggestions with your doctor.

A.  Persistent fever with urinary tract infection needs to be investigated. The first thing is to make sure the E. coli is sensitive to the antibiotics being received. The next thing to do would be to make sure there is no involvement of the upper urinary tract by stones, blockages or kidney infection. Sometimes, imaging studies like an ultrasound or CT may be needed as well as blood tests to see if the body is mounting a response to the infection. Keep her well hydrated and have her seen by her physician and also discuss these suggestions with your doctor.

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