A 63-year-old man with a history of insulin-dependent type 1 diabetes mellitus, presented with a complaint of cloudy, milky white urine accompanied by dysuria only towards the end of urination from the past 1 month. He also reported right-sided flank pain radiating to the ipsilateral abdomen.
Sour taste in mouth and disinterest to take food. Ongoing medication history: Flavoxate HCL tablets- 200mg OD sodium bicarbonate: 1000mg BD plurifloxacin-600mg OD Insulin injection- one time in the afternoon Laboratory values Haemoglobin: 6.4 gms/dl Random Blood Sugar (RBS): 289mg/dl Renal Function Test Serum Creatinine : 4.3 mg/dl Blood Urea: 72mg/dl Serum electrolytes Sodium: 136.9 mmol/L Potassium: 4.61mmol/L Chloride 127 mmol/L Urine culture report Gram Negative Klebsiella pneumonia isolated (>10 5 CFU/ml) What could be the possible reasons for this condition of milky white discharge towards…
