A case of cephalothin-associated urolithiasis

Ivan WM Lim1, Peter JO Stride1,2, Robert L Horvath31Department of Medicine, Redcliffe Hospital, Redcliffe, Queensland, Australia; 2University of Queensland School of Medicine, Redcliffe, Queensland, Australia; 3Infectious Diseases Department, Prince Charles Hospital, Brisbane, Queensland, AustraliaAbstract: We present a case of osteomyelitis requiring prolonged intravenous cephalothin complicated by symptomatic calcium oxalate urocalculi formation. Patients on long-term -lactam antibiotics with lower urinary tract symptoms may have urolithiasis rather than a urinary tract infection.Keywords: urolithiasis, urinary tract infection, cephalothin