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Why did I develop a fever after kidney stone surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

The PCNL kidney stones removal procedure done on me 14 days ago went very well. I had no fever or other major symptoms further to the procedure, and my urine is now slowly clearing. In addition, I had received a 12-day course of IV Ertapenem sodium antibiotics, of which three days were preoperative. However, yesterday and today, I suddenly had an onset of fever at 38 degrees, but today is 14 days after the surgery. Is it possible for severe infection or sepsis to kick in two weeks after the surgery?

Thanks.
Answered by Dr. Sugandh Garg

Education:

MBBS

Professional Bio:

Dr. Sugandh Garg is a qualified medical professional with an MBBS degree and an MD in Forensic Medicine, with significant experience as a COVID-19 expert. Since March 2020, he has been actively working with the government civil hospital COVID team, managing emergency cases and overseeing quarantine and isolation protocols. He has played a key role in supporting COVID-19 patients through structured treatment guidance and diet protocols, contributing to effective patient care during the pandemic.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com.

I understand your concern.

I am glad your PCNL (percutaneous nephrolithotomy) procedure went well. However, the onset of fever 14 days post-surgery must be examined by a treating surgeon. Postoperative infections can sometimes present themselves later than expected. The urinary tract, being involved directly in the PCNL procedure, is susceptible to infections. Symptoms of sepsis can include fever, chills, rapid breathing, increased heart rate, confusion, and disorientation. Postoperative complications such as residual stone fragments, obstruction, or injury to the kidney or surrounding structures can sometimes lead to fever. Seek medical attention from the treating surgeon.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

Yes, I have restarted the daily dose of Ertapenem sodium at the clinic.

Thanks.

Answered by Dr. Sugandh Garg

Education:

MBBS

Professional Bio:

Dr. Sugandh Garg is a qualified medical professional with an MBBS degree and an MD in Forensic Medicine, with significant experience as a COVID-19 expert. Since March 2020, he has been actively working with the government civil hospital COVID team, managing emergency cases and overseeing quarantine and isolation protocols. He has played a key role in supporting COVID-19 patients through structured treatment guidance and diet protocols, contributing to effective patient care during the pandemic.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I understand your concern.

Please complete the course of medicine under the guidance and regular follow-up with the treating doctor. Getting a blood culture might help in the detection of exact bacteria.

I hope this information will help you.

Thanks.

Medically reviewed by iCliniq medical review team
Published At August 21, 2024
Reviewed At September 4, 2024

Education:

MBBS

Professional Bio:

Dr. Sugandh Garg is a qualified medical professional with an MBBS degree and an MD in Forensic Medicine, with significant experience as a COVID-19 expert. Since March 2020, he has been actively working with the government civil hospital COVID team, managing emergency cases and overseeing quarantine and isolation protocols. He has played a key role in supporting COVID-19 patients through structured treatment guidance and diet protocols, contributing to effective patient care during the pandemic.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugandh Garg
Dr. Sugandh Garg

Internal Medicine

Education:

MBBS

Professional Bio:

Dr. Sugandh Garg is a qualified medical professional with an MBBS degree and an MD in Forensic Medicine, with significant experience as a COVID-19 expert. Since March 2020, he has been actively working with the government civil hospital COVID team, managing emergency cases and overseeing quarantine and isolation protocols. He has played a key role in supporting COVID-19 patients through structured treatment guidance and diet protocols, contributing to effective patient care during the pandemic.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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