6 , 2001 Humans are seldom, if ever, are featured on DaDane of
DaWeek and for good reason. Great Danes are much more interesting.
I am making an exception this week to show you what I look like when
I am smiling. And smiling I am. Yes indeed. Last week Jabber's urinalysis
came back negative for E. coli.
Do you believe in miracles?
Jabber has been fighting a persistent E. coli infection of his urinary
tract since April. He developed the stubborn bladder infection following
failed knee surgery which left him crippled and hospitalized for seven
weeks. (See details about the surgery.)
Despite several months of various antibiotic treatments, Jabber's E.
coli infection hung on. Eventually it developed resistance to all but
two antibiotics, Amikacin and Tobramycin. Both of these antibiotics
are "last choice" drugs because they can cause kidney failure.
Before making a final decision about putting Jabber on Amikacin, we
ordered one last urinalysis and culture. Jabber had been off antibiotics
for three weeks when the specimen was taken. There was no telling what
we would find. Perhaps the E. coli had already developed resistance
to Amikacin, what then? We waited nervously for the test results.
could not believe it when the news came in. The laboratory found no
E. coli in Jabber's urine specimen. None. Not only that, but Jabber's
urinalysis was completely normal, indicating that Jabber's kidneys are
doing fine. Another bacteria, non-hemolytic Gamma Streptococcus, was
isolated in Jabber's urine sample, but this infection tested sensitive
to all the usual antibiotics so it would be easy to treat. Even better,
Jabber may not even have a Strep infection. Dr. Kaufman reviewed the
lab report and concluded that the Strep is possibly just a contaminant.
Evidently finding a Strep-based urinary tract infection is pretty unusual.
Not only that, but no bacteria was found in the urinalysis. It only
showed up in the culture. Dr. Kaufman suggested a new culture and sensitivity
profile. This should rule out or confirm the presence
of either bacteria.
We took Dr. Kaufman's advice. This past weekend another urine sample
was shipped off to AnTech Diagnostics for evaluation. This time I am
not so nervous. I think Jabber has finally beaten the infection. Now
we'll be able to concentrate our efforts on rehabilitating his leg.
last week for more details about Jabber's case.
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