Bacteremia, Internal Medicine FAQ

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Can Eating Expired Food Damage Your Liver and Kidneys?

Food issues Hello doctor, I would like to ask if food poisoning can lead to liver and kidney damage, or if it can cause the function of previously healthy liver and kidneys (with normal blood test results) to deteriorate. I accidentally ate an expired Shaqima and experienced gast...


Dr. Zhang Shixin Reply:
Hello Kiki: Bacterial or viral gastroenteritis, when occurring in healthy adults, typically does not have a significant impact on liver or kidney function unless there is a state of shock due to severe dehydration from persistent vomiting and diarrhea, or if a serious infection l...

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Understanding Antibiotic-Resistant Bacteria: Risks and Treatment Options

Please inquire about the issue of antibiotic-resistant bacteria in the human body? Hello, Doctor! I would like to ask the following questions, and I appreciate your time in responding: My father underwent surgery for cancer in December last year and experienced a bowel obstructio...


Dr. Lin Wufu Reply:
1. Antibiotic-resistant bacteria are gradually replaced by regular bacteria once they return to the community, so the most effective treatment is to avoid prolonged stays in healthcare facilities or nursing homes. 2. The body naturally harbors bacteria, including antibiotic-res...

[Read More] Understanding Antibiotic-Resistant Bacteria: Risks and Treatment Options


Understanding Urinary Tract Infections and Persistent Back Pain

Urinary tract infection and subsequent lower back pain follow-up? Hello, I have already gone to a large hospital for examination due to concerns about bacteremia. After blood tests, urinalysis, X-rays, and kidney ultrasounds, the doctor said there were no significant issues. Howe...


Dr. Hong Yuanbin Reply:
Hello, if these tests have been done, it will take some time to improve. It is recommended to drink plenty of water and get more rest. However, if you suddenly experience a fever or increased pain later on, you will need to return to a major hospital for a detailed examination. T...

[Read More] Understanding Urinary Tract Infections and Persistent Back Pain


Understanding Urinary Tract Infections and Associated Back Pain

Urinary tract infection and subsequent lower back pain? Due to a urinary tract infection, I have been undergoing medication treatment for 12 days. The first 10 days included three medications: Paran (Panadol), Ikodin, and Urogen. However, since the treatment effects were limited,...


Dr. Hong Yuanbin Reply:
Hello, it's difficult to say that lower back pain is definitely due to a kidney infection, as muscle strains can also cause back pain. This aspect requires a physician's direct assessment for a more accurate diagnosis. If a urinary tract infection is accompanied by bact...

[Read More] Understanding Urinary Tract Infections and Associated Back Pain


Managing Infected Lipomas: Risks of Endocarditis and Antibiotic Prophylaxis

Infected sebaceous cyst? I have an inflamed lipoma on my shoulder that is 2.5 cm and red, but it hasn't ruptured, and I don't want surgery for now. I also have aortic coarctation and a bicuspid aortic valve with mitral valve prolapse. If I leave the inflammation untreat...


Dr. Hong Yuanbin Reply:
Hello, regarding aortic stenosis with bicuspid aortic valve and mitral valve prolapse, prophylactic antibiotics are only necessary in certain situations that may cause bleeding, such as tooth extraction, due to concerns about infective endocarditis. If it is simply a lipoma, prop...

[Read More] Managing Infected Lipomas: Risks of Endocarditis and Antibiotic Prophylaxis


Sudden High Fever: Understanding Causes and Concerns in Internal Medicine

Unexplained sudden high fever? Two nights ago, I suddenly experienced full-body shaking and a headache. The next day, I woke up feeling weak all over and had a severe headache. Later in the afternoon, my temperature rose to 39.3°C, so I went to a clinic for evaluation. I had no s...


Dr. Hong Yuanbin Reply:
Hello, 1. In cases of more severe bacterial infections, it is usually sufficient to take just one course of antibiotics to control the infection. Based on your description, it seems more likely to be a viral infection or a mild bacterial infection, which should be monitored fur...

[Read More] Sudden High Fever: Understanding Causes and Concerns in Internal Medicine


Understanding the Right Specialists for Bacteremia and Spinal Abscess

For bacteremia and spinal abscess, you should consult an infectious disease specialist and a neurosurgeon? Hello, my father is 60 years old. He was previously hospitalized due to poorly controlled diabetes and was found to have Salmonella in his bloodstream, for which he received...


Dr. Liao Zhongxin Reply:
Dear readers, Regarding chromium niacin at levels up to 600μg, the side effects of excessive intake are as follows: 1. Skin flushing and itching. 2. Elevated serum uric acid levels. 3. Impaired glucose tolerance. 4. Liver damage. Regarding the presence of Salmonella in the ...

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Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide

Urinary tract infection (UTI) Dear Dr. Wu, my grandmother is 92 years old and frequently suffers from urinary tract infections. She was previously hospitalized due to an infection that caused a fever, and the bacteria entered her bloodstream (bacteremia). After being hospitalized...


Dr. Wu Jiyu Reply:
Based on your inquiry, theoretically, the bacteremia caused by the urinary tract infection should have been resolved; otherwise, your grandmother would continue to have a fever. Regarding the urine test results from the second hospital indicating an infection index of 26-50, ther...

[Read More] Managing Recurrent Urinary Tract Infections in Elderly Patients: A Guide


Understanding Symptoms: Headache, Weakness, and Possible Bacteremia

Headache, weakness in the right arm with difficulty lifting, previously had a fever up to 40 degrees Celsius, chest pain, neck stiffness, and red spots on the body? A 45-year-old female friend experienced sudden onset of headache five days ago, along with weakness in her right ar...


Dr. Cai Yaozhou Reply:
Hurry to the large hospital to register for an internal medicine emergency consultation for a series of tests to check for bacteremia. Additionally, due to neck stiffness, a consultation with a neurologist may be necessary to rule out the possibility of meningitis.

[Read More] Understanding Symptoms: Headache, Weakness, and Possible Bacteremia


When to See a Doctor for Urinary Tract Infections and Acute Nephritis Explained

Urinary Tract Infection (UTI) Hello, Doctor: When should one see a physician for a urinary tract infection? If it is mild, can it be resolved by simply drinking more water? What is acute nephritis? Is it serious? Thank you, Doctor.


Dr. Xie Yonghui Reply:
Urinary tract infections (UTIs) can be classified into general UTIs and special UTIs. General UTIs refer to typical urinary tract infections, which are defined by a urine culture showing more than 10^5 colony-forming units (CFU) per cubic centimeter (c.c.) of Gram-negative, Gram-...

[Read More] When to See a Doctor for Urinary Tract Infections and Acute Nephritis Explained


Managing Infection Risks for Pregnant Visitors in ICU: A Guide

How should the doctor handle this? Doctor, my grandmother is 93 years old and recently developed cellulitis and bacteremia with MRSA, along with pneumonia and gastrointestinal bleeding due to an infection in the artificial bone she has had in her thigh for over ten years. She is ...


Dr. Chen Qingbin Reply:
Hello Anny: The hospital environment has a higher presence of bacteria and viruses, so pregnant women and young children should avoid going unless absolutely necessary. Health Education Department Director, Chen Ching-Pin.

[Read More] Managing Infection Risks for Pregnant Visitors in ICU: A Guide