Abstract

We report a case of a 68-year-old male with history of suprarenal insufficiency under steroid therapy, chronic renal disease (CRD), type 2 diabetes mellitus, hypothyroidism and arterial hypertension. The patient was admitted with acute decompensation of CRD subsequent to a urinary tract infection (UTI). Empiric antibiotic course with ceftriaxone was initiated, with clinical and laboratory improvement. No etiologic agent was isolated in urine culture. A week later was readmitted with macroscopic pyuria.

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