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Rainsville, AL
A 35-year-old male asked:

71 y/o father dx w/ uti, prescribed nitrofurontion 100 mg capsules twice daily. hes now having chills, lower right back pain and has a 101.8 degree fever. is it time to consider taking him to the hospital? he is hesitant due to rampant covid?

2 doctor answers7 doctors weighed in
Dr. Yvette Kratzberg
Pediatrics 25 years experience
There are bacteria that are resistant to nitrofurantoin. If your father is having fever, chills and back pain, it could indicate that the bladder infection has ascended to his kidneys which is a serious problem, esp in older persons. You need to take him to the ER for full evaluation and possibly IM or IV antibiotics. Make sure to tell the triage desk that your father has a UTI which has worsened.
Dr. Silviu Pasniciuc
Internal Medicine 28 years experience
His care needs to be escalated as pyelonephritis followed by sepsis becomes possible and time is of essence. Worries about COVID are legitimate, risk has to be assumed in the presence of a possible life threatening condition.

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