Recurrent urinary tract infection: Clinical History

Clinical History

  • A 72- year old woman had a history of recurrent urinary tract infections over the past several months, for which she had received different regimens of antibiotics including ampicillin, trimethoprim-sulfasoxazole, and ciprofloxacin.
  • Relapses often occurred 10 days to two weeks after cessation of therapy.
  • The current flare up, manifest by dysuria, lower abdominal pain and cloudy urine was accompanied by shaking chills and spiking fever.
  • A sterile mid-stream urine specimen was sent to the laboratory for culture.

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