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Medical Forum / General / General / February 2006

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Dumb-a.s Question About Klebsiella Pneumoniae

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REP - 27 Feb 2006 12:18 GMT
In very general terms, is Klebsiella pneumoniae a common cause of upper
urinary tract (kidney) infections in people who haven't been in the
hospital since May of 2005? Would, in general, being diabetic and having
chronic kidney disease make a person more likely to have an infection
with this organism?

I have a 3+ year history with repeated, recurring kidney infections -
even had surgery to remove a stone to see if that would make them stop
(no) but this is the first Klebsiella pneumoniae infection I've had; the
others are Macrodantin-resistant enterobacter aerogenes and
Cipro-resistant e.coli. I'm on the right antibiotic and am under care;
I'm just curious.

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"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

Robert - 27 Feb 2006 19:16 GMT
> In very general terms, is Klebsiella pneumoniae a common cause of upper
> urinary tract (kidney) infections in people who haven't been in the
> hospital since May of 2005?

In general it is not as common as E.coli. Not all are nosocomial as it also
occurs in nature and is an opportunistic encapsulated organism.

Would, in general, being diabetic and having
> chronic kidney disease make a person more likely to have an infection
> with this organism?

Yes as anyone with an altered immune state would make them susceptible to
any opportunistic infection.
The last one I recall was a fatal case of meningitis in an alcoholic.
Diabetes can impair immunity.

> I have a 3+ year history with repeated, recurring kidney infections -
> even had surgery to remove a stone to see if that would make them stop
> (no) but this is the first Klebsiella pneumoniae infection I've had; the
> others are Macrodantin-resistant enterobacter aerogenes and
> Cipro-resistant e.coli. I'm on the right antibiotic and am under care;
> I'm just curious.

Good luck, just keep your diabetes under control and you will be ok.
REP - 28 Feb 2006 05:34 GMT
[snip interesting information]

Thank you!

> Good luck, just keep your diabetes under control and you will be ok.

I've maintained an HbA1c of 5.8% since I became diabetic - that I'm good
at. My kidney disease is FSGS and predates the diabetes, and that I
don't do as well with.

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"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather


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