Table 1 Clinical and laboratory details of patients with probable BSI

Patient 1

> 65, M

Blood Pressure 80/40 mmHg, heart rate 120/min, fever 38.3 °C. Dysuria and urinary frequency for 5 days PTA

E. coli

Blood culture^b (−2d)

Urine culture (−2d)

CRO, TZP/Yes

CT negative for renal obstruction

ESBL E coli bacteremia and pyelonephritis

Patient 2

> 65, F

Fever, chills, nausea, dysuria

E. coli

Blood culture^b (−1d)

Urine culture (−1d)

CRO /Yes

–

Pyelonephritis with

E coli bacteremia

Patient 3

50–64, F

Nausea, vomiting, burning with urination, abdominal and flank pain, fever

E. coli

Urine culture (0d)

CRO, TZP/Yes

–

Pyelonephritis due to

E. coli

Patient 4

> 65, F

Chills, rigors, dyspnea, dysuria

E. coli

Urine culture (0d)

CRO /Yes

CT: bilateral pyelonephritis

Bilateral E coli pyelonephritis

Patient 5

> 65, F

Fever, nausea, vomiting, abdominal pain and dark foul-smelling urine for 1 week.

E. coli

Urine culture (−1d)

CRO, TZP /Yes

CT: 4 mm obstructing calculus, mild hydroureteronephrosis

Pyelonephritis

due to E coli

Patient 6

> 65, M

Fever, dysuria and sepsis.

E. coli^a

Urine culture (−1d)

CRO /Yes

CT: Right sided Pyelonephritis

Pyelonephritis due to E coli

Patient 7

> 65, F

Weakness, productive cough, fever, nausea and vomiting. Symptoms started 5 days PTA.

S. aureus

Blood culture^b (−4d)

VAN, CRO, AZM/ Yes

CXR with right lower lobe pneumonia

Influenza B, superimposed

S. aureus pneumonia

Patient 8

50–64, M

Left thigh abscess and sepsis. Had a previous visit for left thigh abscess 1 month ago, which was incised.

S. aureus

Wound incision and drainage culture (−2d) with MRSA

VAN, SAM/Yes

U/S: Subcutaneous edema. No drainable abscess

Left thigh abscess/ MRSA wound infection

Patient 9

> 65, M

Left third finger abscess and fever for 8 days. Cellulitis/abscess in left third finger.

S. aureus

Blood culture^b (−11d)

Finger abscess (−2d)

VAN, TZP/Yes

–

Finger osteomyelitis,

Bacteremia due to S. aureus

Patient 10

18–49, M

Flank pain, chills, dysuria, hematuria. Initially admitted with obstructing mid ureteral calculus and UTI. Underwent urgent right ureteral stent placement.

K. pneumonia

Urine culture (−3d)

AMP, CRO /Yes

CT: Multifocal abscess formation in the right kidney

Obstructing mid-ureteral calculus with UTI and multifocal kidney abscesses.

Patient 11

> 65, M

Fever, shaking chills and nausea. History of recurrent UTIs and benign prostatic hyperplasia requiring self-catheterization with Foley catheter.

P. aeruginosa

Urine culture (−1d)

VAN, TZP/Yes

–

Complicated UTI due to P. aeruginosa