Dr. Madhav Tiwari
General Surgery
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have a UTI infection, with pus cells count is 40 to 45 and there are bacteria in the urine that is Klebsiella pneumonia. I also have right kidney ADPKD cysts, lymphocytes are 18,000 cells per microliter and creatine is normal. I took Cranpac D and Uribid tablets twice daily and the infection reduced. Later I stopped the tablets and the infection increased. I went to a hospital and they have given an antibiotic injection called Sulbactam and Cefoperazone injection. What should I do for complete recovery from this infection?
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I have read your query and understand your concern. Please help me with a few details so that I can help you better: When was your autosomal dominant polycystic kidney disease (ADPKD) diagnosed? What symptoms are you experiencing currently? Do you have a fever, burning sensation while peeing, blood in the urine, straining to pass urine, or abdominal pain? Do you have diabetes or hypertension? Have you undergone any surgeries in the past? Did you incur any trauma to your abdomen recently? How many injections of Cefoperazone and Sulbactam did you receive? Have you undergone any other tests (other than what you have mentioned)?
If you have received an appropriate amount of the injection it will take care of the infection, also Cranpac D (Cranberry extract and D-mannose) is an excellent medication to reduce and prevent infections. Whilst the medication will take care of the infection, we need to know the cause of why you developed the UTI (urinary tract infection) in the first place as it is very uncommon for a young man of your age to develop a UTI. Please revert with the details and I will do my best to assist you. Please upload all the blood and urine tests as well so that I can go through them.
Thank you.
Patient's Query
Hello doctor,
Thank you for your response.
ADPKD was diagnosed a few years back. I have had a few symptoms. I had a fever, no burning sensation, no blood in my urine, and no abdominal pain. I do not have diabetes or hypertension, surgical history, and history of trauma. Up to today, I have taken 4 injections.
Thank you.
Hello,
Welcome back to icliniq.com.
The reports (attachments removed to protect the patient's identity) show evidence of growing Klebsiella. Have you had any recent urine cultures done? When was your last injection taken and on what basis did the doctor prescribe it? Was it a recent urine culture test? Are you having any symptoms at present? The most likely cause of your UTI might have been an infection in one of the cysts in your right kidney. There is nothing for you to worry about currently if you do not have any symptoms. ADPKD cysts can get infected once in a while and cause these issues. You just have to deal with them as and when they develop. What would be a good way to prevent infections is to drink 0.79 gallons of water per day and consume lemon juice at least two to three times per week. This will help flush out your kidneys adequately.
Thank you.
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General Surgery
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