Case history
Case history #1
A 26-year-old female newlywed presents complaining of painful urination, feeling of urgent need to urinate, and more frequent urination for 2 days. She denies any fever, chills, nausea, vomiting, back pain, vaginal discharge, or vaginal pruritus.
Case history #2
A 76-year-old male with diabetes with known incomplete bladder emptying due to benign prostatic obstruction presents with haematuria, suprapubic pain, frequency, and urgency with associated fever.
Other presentations
Hospitalised patients with urinary catheters, urinary retention, or history of recent urinary tract instrumentation are at high risk for bladder infection. In these settings, the typical symptoms of dysuria and frequency may be absent and the infection is usually detected on a urinalysis and urine culture done for the evaluation of fever.
Older people may not present with classical symptoms. In community-dwelling older adults who are cognitively intact, generalised symptoms such as lower abdominal pain, back pain, and constipation may be present with or without genitourinary symptoms.[2] The presence of acute onset UTI-associated symptoms and signs (e.g., fever, dysuria, gross hematuria, and new or worsening urinary incontinence) in residents of long-term care facilities, is suggestive of UTI and requires further evaluation.[2] The atypical symptoms that older people may experience (e.g., functional or mental status decline) are likely to be related to the presence of urosepsis and not necessarily cystitis.
Use of this content is subject to our disclaimer