Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
I Have Citrobacter Koseri In Urine. I Have Progressing Symptoms
Question: I have Citrobacter Koseri in urine. I have progressing symptoms of uti now to deunditis. I need treatment badly. My kidneys hurt fiercely.
Brief Answer:
Hi,
Detailed Answer:
Citrobacter koseri is a normal habitat of water,soil & digestive tract of animals as well as of human digestive tract.
However,it generally causes clinical symptoms in neonates or immuno-compromised adults. In neonates these generally cause brain infection like meningitis & has a mortality rate in the range of 30-70%. In adults the species can be isolated in 1-2% cases of all UTI patients.It can have upward transmission in the urinary tract to kidney. Similarly from the colon it may go upward upto duedinum causing duedonitis, as in your case.
Usually it first form the early massive necrosis at the local site of infection,giving rise to cavity formations which may be filled with pus later on. Infection in the brain is a serious consequence of this infection,particularly in neonates.
The main treatment of it is by the sensitive antibiotics which may be carbopenem,cephalosporines, piperacillin with tazobactam, quinolines & doxycycline etc.
However,resistance to multiple antibiotic is becoming a problem,hence culture &sensitivity test should be a basis for antibiotic treatment. Recurrence is also a problem,therefore requiring periodic urine analysis & treatment if needed for some period at least.
I think this may give answer to your querry.Best of luck.
Hi,
Detailed Answer:
Citrobacter koseri is a normal habitat of water,soil & digestive tract of animals as well as of human digestive tract.
However,it generally causes clinical symptoms in neonates or immuno-compromised adults. In neonates these generally cause brain infection like meningitis & has a mortality rate in the range of 30-70%. In adults the species can be isolated in 1-2% cases of all UTI patients.It can have upward transmission in the urinary tract to kidney. Similarly from the colon it may go upward upto duedinum causing duedonitis, as in your case.
Usually it first form the early massive necrosis at the local site of infection,giving rise to cavity formations which may be filled with pus later on. Infection in the brain is a serious consequence of this infection,particularly in neonates.
The main treatment of it is by the sensitive antibiotics which may be carbopenem,cephalosporines, piperacillin with tazobactam, quinolines & doxycycline etc.
However,resistance to multiple antibiotic is becoming a problem,hence culture &sensitivity test should be a basis for antibiotic treatment. Recurrence is also a problem,therefore requiring periodic urine analysis & treatment if needed for some period at least.
I think this may give answer to your querry.Best of luck.
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
