Question

34 yo F had 5 UTIs in last 2 months. Also, decreased appetite, nausea, diarrhea w/lower abd pain for past year, palpitations, difficulty sleeping & Chronic low back pain. Lost weight recently and smokes 1 ppd. last UC grew mixed flora: e coli and bacteroides fragilis. Dx?

Answer 1

The patient's symptoms and urine culture results suggest a possible diagnosis of chronic urinary tract infection (UTI).

Step-by-step explanation:

The symptoms described by the patient - 5 UTIs in the last 2 months, decreased appetite, nausea, diarrhea with lower abdominal pain for the past year, palpitations, difficulty sleeping, chronic low back pain, weight loss, and smoking - along with the findings of e coli and bacteroides fragilis in the urine culture, suggest a possible diagnosis of chronic urinary tract infection (UTI). Chronic UTIs can be caused by persistent infection or reinfection, and recurring infections may be caused by the presence of resistant bacteria or an underlying condition that predisposes the individual to infections.