Jerome Leis News Today : Breaking News, Live Updates & Top Stories | Vimarsana

### What you need to know An older woman with moderate stage dementia living in a long term care home has new confusion and slurred speech. Her nurse notes an “unusual smell” while collecting a urine specimen and sends it for culture testing to the microbiology laboratory. The care home physician is notified that afternoon of the clinical finding and performs a focused examination, which is unremarkable, and then signs off the urine culture order. The urine culture returns with significant growth of Escherichia coli and the woman is prescribed a course of antibiotics. Five days later, she experiences an acute decline in her clinical status, including worsening dysarthria and right sided weakness, and is transferred to hospital, where a stroke is diagnosed. Focusing on a diagnosis of urinary tract infection (UTI), despite the absence of correlating symptoms, has resulted in delayed recognition of stroke symptoms and timely treatment. Overdiagnosis of UTI is one of the most common

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