Impatient Inpatient Care

A 62-year-old, retired painter was hospitalized three weeks before transfer to a referral hospital. He reported a temperature of 38.8°C, chills, myalgias, headache, and dysuria of five days' duration. About three months earlier, he had also been hospitalized with fever and dysuria, which responded to treatment with ciprofloxacin; urine and blood cultures were negative at that time.In a retired painter, one thinks of lead intoxication or chronic alcoholism. Dysuria may indicate the presence of urethritis. The recurrence of symptoms after three months raises the question of a localized process in the genitourinary system, such as a prostatic . . .