Question

This is the same Pt for all 3.

1. Pneumonia Pt , has no history of DM , why is her serum glucose elveated?

2. Why is the same pt , have no fever?

3.Is there a sig probabilty that the patient got a UTI , that caused her pneumonia? She has urine incontinence and a clean urinealysis

Answer 1

1 As mentioned patient is suffering from pneumonia with no history of DM still she shows signs of elevated serum glucose level, it might be due to community acquired pneumonia (CAP). and High risk case should be handled with CCU or ICU admission. Due to CAP serum glucose may be elevated without any DM.
2. CAP generally occurs due to some pathogens and rarely with viral origin. If this is the case of viral originated CAP then they will not rise the level of fever causing factors to that much extend and will show no signs of fever.
3. As there is infection which could spread to kidney and kidney function may gets hampered or may cause renal failure too. So an untreated UTI may spread to the kidney, causing more pain and illness. It can also cause sepsis. The term urosepsis is usually used to describe such kind of sepsis caused by a UTI. Sepsis and septic shock can result from an infection anywhere in the body, such as pneumonia, influenza.