How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43430
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

Dear Doctor I am 65,male In June I stayed 4 weeks in

Resolved Question:

Dear Doctor
I am 65,male
In June I stayed 4 weeks in hospital because of a very rapidly developed sepsis caused by beta haemolytic Streptococcus which caused large wounds on my left leg
First days I was in critical condition.
I have insulin dependent diabetes type 2 treated by insulin ( Levemir)
I was treated in the hospital with a combination of Penicillin and Cyprofloxacin iv and my wounds healed within 4 weeks. I also have received a 2 month treatment with antifungal antibiotic as the doctors thought Streptococcus entered my leg through toes affected by fungal infection.
In 2014 and in January 2015 I had several episodes of uroinfection with high temperature pain and frequent urination. It was mostly E coli quite sensitive to antibiotics, especially to Cephalosporines ( Cefalexin ,Cefuroxime Cefpodoxin).And it was treated with these antibiotics.I have a moderate enlargement of prostate,PSA abt 6 and free PSA abt 2.I am taking Finasterine 5 mg.
My foot is still little swollen ,I can not put the full body weight on my leg, but I can move around in the apartment and am using a mobility scooter for driving outside.
Yesterday I had probably little bit frequent urination and today I got a fever 37,9 ( which is quite high for me) and feel bit chill and fevering.
I have also heart insufficiency with atrial fibrillation and taking 20 mg of Lasix a day.
As far as it is Saturday it is difficult for me to get in touch with my hospital doctor or GP and I decided to start taking Zinnat ( Cefuroxime) 250 mg x2 and took just one tablet.
Of course I am very much afraid if the situation with sepsis will repeat.
I do not have cough or any other symptoms of cold.
Do you think the dosage of antibiotic is sufficient?
Awaiting your advice.
Kind regards
M
Submitted: 5 months ago.
Category: Medical
Expert:  Dr. David replied 5 months ago.

This is Dr. David

it sounds like you might be worried about a urinary tract infection if you were urinating a bit more frequently with a bit of fever.

you really should see a doctor at the hospital or urgent care center and get a urine test to check for urinary tract infection.

they can do a urinalysis and urine culture to check for infection.

this is better to know before you start to take antibiotics so you know what is the correct antibiotic to use for your infection.

you may not have a bladder urinary tract infection.

i know you are scared of sepsis and infection because you have had bad infection in the past.

you can also buy home urine test kits like Atlas Urinary Tract Test where you can test your urine at home and see if you have a bacterial infection

if you do have a bacterial infection, you would still need to see your doctor for prescription for antibiotics.

let me know if you have questions.

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43430
Experience: Board Certified Physician
Dr. David and 2 other Medical Specialists are ready to help you
Expert:  Dr. David replied 5 months ago.

let me know if you would like me to call you in the UK.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.