A 58-year-old woman had been battling on-and-off fever for nearly a year. Every episode improved temporarily with treatment… only to return again. Over time, she underwent multiple investigations: ☑ Fever panels ☑ ANA testing ☑ Repeated medications ☑ Multiple consultations Urine culture eventually showed infection, sensitive antibiotics were started, yet the fever persisted.
Interestingly, her first USG abdomen was reported as normal — despite a known history of cystocele. When she later consulted me, a repeat USG abdomen performed within just one week revealed: • Cortical scarring in the right kidney • Significant cystocele The diagnosis suddenly became much clearer: A long-standing recurrent UTI, likely driven by underlying pelvic floor pathology. Another elderly female patient with prolonged fever and UTI history showed a similar pattern — delayed imaging, delayed identification of…