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A 54-Year-Old Woman With Poorly Controlled Diabetes and Refractory CystitisWoman With Poorly Controlled Diabetes and Cystitis

Whittney A. Warren, DO; Jared T. Hagaman, MD, FCCP
Author and Funding Information

From the Wright State University Boonshoft School of Medicine (Drs Warren and Hagaman); Wright-Patterson Medical Center (Dr Warren); Pulmonary and Critical Care Consultants of Dayton (Dr Hagaman); and the Miami Valley Hospital (Dr Hagaman), Dayton, OH.

Correspondence to: Whittney A. Warren, DO, Department of Internal Medicine, Wright State University Boonshoft School of Medicine, PO Box 927, Dayton, OH 45401-0927; e-mail: Whittney.Warren@gmail.com


This case has been presented in poster form at the Ohio American College of Physicians Scientific Meeting, October 10-11, 2013, Columbus, OH.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(1):e24-e27. doi:10.1378/chest.13-2680
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Extract

A 54-year-old woman presented to the ED complaining of dysuria. Following basic diagnostic testing, she received a diagnosis of cystitis and was discharged with ciprofloxacin. Urine cultures later grew pan-susceptible Escherichia coli. Three days later, she returned, complaining of progressively worsening shortness of breath and confusion. The patient’s medical history was significant for poorly controlled type 2 diabetes mellitus. She had no significant history of kidney disease prior to presentation.

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