Q. How to treat Klebsiella pneumonia in a patient with UTI?
Hello doctor,
I am a 24-year-old male and I recently got a urinary tract infection and was diagnosed with Klebsiella pneumonia. My doctor started my treatment with Amikacin 1.5 ml (IM) twice a day for six days along with Doxycycline 100 mg and Cefuroxime axetil thrice a day. I almost came to the last day of my treatment but did not gain any benefits. Kindly help.
Hello,
Welcome to icliniq.com.
Kindly let me know the signs and symptoms that you faced and share the prescriptions for the antibiotics. The urine culture suggests significant growth of Klebsiella but it is sensitive to all major antibiotics. The bacteria is sensitive to the prescribed antibiotics. However, you have not mentioned the duration of treatment. Also, it was observed that you had been prescribed Ofloxacin plus Cefixime with the changeover to Amikacin, Cefuroxime, and Doxycycline. Since intravenous antibiotics were given, they must have been on the basis of in-hospitalization treatment. Kindly share the details. Also, are you sexually active, and have practiced unprotected intercourse in the past? If so, you may need to undergo additional blood tests.
Thank you.
The Probable causes:
Klebsiella Pneumoniae.
Investigations to be done:1. STD (sexually transmitted disease) profile.
Hello doctor,
The symptoms I have are a burning sensation while passing urine, pain in the testis, and weakness. The doctor prescribed all those medicines for six days, and yes I was sexually active last month and also went to an STD doctor where I got to know about Klebsiella pneumonia. I will attach all the reports below. Today after completing my previous medicine my symptoms are not declined as much as I expected so again my doctor prescribe me a Moxifloxacin infusion bottle per day (once) for one week, should I start taking those drips?
Hello,
Welcome back to icliniq.com.
Thanks for your revert.
The test report attached here was that of hematology, HIV, and HCV but not of STI profile (VDRL, Gonorrhea, Chlamydia). Any antibiotic infusion would be administered under hospitalized conditions. I am not sure how Moxifloxacin infusion and any injectible antibiotic regimen are being given without hospitalization. Administering additional antibiotic infusion of Moxifloxacin (after previous doses of three antibiotics- Amikacin injection, Cefuroxime, and Doxycycline orally) without urine culture is unlikely. It may be difficult to comment without complete admission treatment-related records.
Thank you.
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