Case continued
A provisional diagnosis of urinary tract infection was made.
Mr Davis was prescribed a seven-day course of Trimethoprim 200 mg twice daily.
He is offered paracetamol to control the pain.
Diagnosis development
Click on the tabs below to explore more details relating to a diagnosis of UTI.
Common organisms causing UTI
Common in all types of UTI:
- 1. E coli esp serogoups 01, 02, 04, 05, 06, 07, 08, 075, 0150
- 2. Klebsiella pneumoniae
- 3. Other Klebsiella spp
- 4. Enterobacter spp
Linked to kidney stones:
- 5. Proteus spp
Common in catheter associated UTI:
- 6. Pseudomonas aeruginosa
- 7. Enterococcus spp
- 8. Staphylococcus aureus
Common in young sexually active females:
- 9. Staphylococcus saprophyticus
Virulence factors
Fimbriae (P fimbriae)
- 1. Certain O,K H serotypes
- 2. K antigen (higher quantity)
- 3. Type 1 fimbriae
- 4. aerobactin
- 5. cytotoxin necrotizing factor type 1(cnf)
- 6. Uropathogenic specific protein
Differential diagnosis
Differential diagnosis:
- 1. Renal infectiuon
- 2. Renal calculus
- 3. Prostatitis
- 4. Urethritis (including non-gonococcal urethritis)