▲ 1 r/AskVet

Persistent UTI despite 3 antibiotic courses – looking for advice

My cat has a confirmed E. coli UTI and has now completed his third antibiotic course (enrofloxacin). Since starting enrofloxacin, he's had vomiting, nausea, poor appetite, and stomach rumbling sometimes

His latest urinalysis still shows inflammation and bacteria, and we're waiting for the urine culture results.

I don't know what to do now. He survived parvo and fip. He's stressed

Species: Cat ·Age: 1 ·Sex/Neuter status: Neutered ·Breed: Indie ·Body weight: 4.900 · History: survived parvo and fip. UTI • Clinical signs: UTI, vomiting · Duration: ·Your general location: Bengaluru • Links to any test results, Xrays, vet reports etc. that you have

Recent Test Results (Summary)

  • Diagnosis: Confirmed E. coli UTI.
  • SAA: 193.1 → 5.0 µg/mL (marked improvement).
  • CBC: Mild dehydration (high RBC/HCT/HGB), platelets slightly low.
  • Biochemistry:
    • Creatinine: 1.87 mg/dL (within reference range)
    • BUN: 48.6 mg/dL (high, likely dehydration)
    • Mild ALT/AST elevation
  • Ultrasound: No significant kidney or bladder abnormalities.
  • Latest Urinalysis:
    • WBC: >200/HPF
    • Bacteria: +2
    • Leukocytes: +3
    • Blood: +1
    • Protein: +1
    • Specific gravity: 1.027
  • Urine culture & sensitivity: Pending.
reddit.com
u/Anonymous_Alien_97 — 21 days ago