TABLE 3.
Summary of clinical features of our two cases and previously reported casesa
Case no. (reference) | Patient age (yr) | Sex | Underlying disease(s) | Main symptoms and signs | Urine culture resultc | Blood culture result | Initial treatment | Result of treatment |
---|---|---|---|---|---|---|---|---|
1 (PR) | 80 | M | Coronary artery disease, cerebrovascular disease | Nocturia, urinary frequency, altered mental status | >105 | No sign of sepsis | CIP | Recovered |
2 (PR) | 58 | M | Hypothyroidism | Dysuria and large, tender prostate | >105 | Not septic | TET | Did not return for follow-up |
3 (10) | 78 | M | Meningioma | Fever, heart murmur | >105 | Positive | CXM | Endocarditis, death |
4 (7) | 43 | M | Alcoholism, hepatic cirrhosis, chronic pancreatitis | Antecedent UTI, heart murmur | Normal | Positive | CIP | Septic shock, endocarditis, death |
5 (2) | 81 | M | Prostate cancer | Fever, hematuria, dysuria | >105 | 2 of 2 positive | TMP | Sepsis, endocarditis, death |
6 (2) | 63 | M | Coronary artery disease, alcoholism | Sepsis, fever, urinary incontinence, pyuria | >105 | Positive | AMP, GEN | Recovered |
7 (13) | 81 | M | Not identified | Fever, symptoms of a UTI, heart murmur | Negative | 2 of 2 positive at 3 days | SULFA | Endocarditis, death |
8 (8) | 80 | M | Prostate cancer | Dysuria, testicular pain, septicemia | Negative | Positive | AMP, GEN | Recovered |
9 (4)b | 74 | M, F | Diabetes mellitus, prostatic disease, indwelling catheter | Fever, dysuria, pyuria, incontinence | >105 | Positive for 17 patients | Unknown | Unknown |
PR, present report; M, male; F, female; CIP, ciprofloxacin; TET, tetracycline; TMP, trimethoprim; AMP, ampicillin; GEN, gentamicin; CXM, cefuroxime; SULFA, sulfamethizole.
Case 9 was a study of 63 patients (34 female patients and 29 male patients). The age listed is the median age (range, 3 to 97 years).
Values given are in CFU per milliliter. The result for case 4 was obtained with a dipstick.