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Recurrent urinary tract infection in a diabetes mellitus patient on dapagliflozin: a case report
(2024-11-11) Lwabukuna, Warles C.
A 48-year-old female with a history of diabetes mellitus for more than five years, controlled with metformin 500mg 12 hourly, sitagliptin 50mg 12 hourly, and dapagliflozin 10mg once daily. One month after the introduction of dapagliflozin, she presented to the outpatient department with lower back pain and fever. Clinical examination revealed a temperature of 38°C and suprapubic tenderness The patient was diagnosed with a UTI and treated with oral Amoxicillin-Clavulanate (625 mg 12 hourly) for five days. Two weeks later, after the completion of her initial antibiotics, the patient returned with complaints of lower abdominal pain for three days, a burning sensation during urination for one day, and low grade fever