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    Sepsis uti kidney prostate

    I will try to make this as short as possible. My son was injured C7 in 2002. He has been very healthy until last summer. Ended up at Mayo after being diagnosed with sepsis. Now two months ago he went to ER with signs of UTI. Was hospitalized until temp went down. Home a few days. Back to ER and hospitalized diagnosis was kidney infection. Home then had signs of UTI Again. This time they said prostate infection. On some strong antibiotics. He’s been on so many drugs to fight infections. Now signs of UTI again. He’s had Mayo doctors, urologists etc. they can’t get it right. He’s only had a handful of UTIs in 20 years. He Caths FYI. With this limited info any clue what might they look for?

    #2
    Chronic prostatitis can be a cause of repeated UTIs with the same bacteria, as the bacteria can hide out from the antibiotics used in the infected prostate. It is not an easy diagnosis to make; requiring a digital and ultrasound exam of the prostate and maybe even a prostate biopsy. His PSA may also be elevated. It is also tricky to treat, often requiring 6-8 weeks of antibiotics to eradicate. It is more common in men who use indwelling catheters than in those who do intermittent cath as well. He should talk to his urologist about this.

    I would also recommend a consultation with an infectious disease physician specialist who can work with his urologist to determine the best treatment if prostatitis is diagnosed.

    I assume he has been tested for urinary stones, which can also cause recurrent infections, and can be in the kidney, ureters, or bladder.

    Also, what signs/symptoms of UTI are you seeing? They are different for someone with a SCI/D than for an AB person.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      Thank you. I showed him your answer and he said his doctors are doing just what you said to do.

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        #4
        So nothing has changed. He is so miserable. He doesn’t even think it was prostate, just a stab in the dark. They put him in different meds for bladder spasms. Nothing has changed. He’s trying to get records transferred to Mayo:Rochester since we live 2 hours away but can’t heft a callback. He spends hours a day trying to find answers but nothing. Does anyone have experience with this. Acts like bladder infection but isn’t. He’s has CT or MCI. A look into the bladder. My question to him was maybe IC. does this sound like it could be?

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          #5
          I became septic from prostatitis last December. Extended use of the right antibiotic took care of it.

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            #6
            I'm assuming he's had a complete physical, including blood testing, since Summer 2020?
            My husband who is SCI had a TUR (transurethral resection and sphincterectomy), over 40 years ago - it allows free flowing of urine with collection in an external set up - a condom catheter. He had to go that route due to numerous urinary infections; since the surgery only a rare infection, treated with antibiotics. His urologist at that time was not a fan of either Intermittent cathing or indwelling catheter, both of which were being recommended by other urologists.

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              #7
              A few years back, I went thru uti after uti for months, I usually only have one every few years. I'd take antibiotic and it would go away, then a week later it would be back. Turned out I had a tiny infected kidney stone that was hidden enough that the antibiotics never killed its infection. So as soon as the med was done, it would be back at work infecting me again.

              They went in and laser blasted it into pieces and got it out. Waalaa, no more uti's.
              "a T10, who'd Rather be ridin'; than rollin'"

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                #8
                Although having your records would be helpful, I would make an appointment at Mayo and get seen. They may have more luck (with your permission) getting the records.
                He needs to have this resolved.
                ckf
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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