Comment by jrapdx3

Perhaps a bit tangential to the main topic, but it is of course true that UTIs can adversely affect cognition in the elderly, even precipitate delirium, etc., depending on type and severity of infection. Naturally that also occurs with other sources of infection, and factors including intoxication due to drugs (prescribed or otherwise) and a host of others. Vulnerability to such decompensation is greater among those already functioning marginally. As such accurate diagnosis can be hard to establish particularly when multiple factors are implicated, hardly a rare circumstance. (At least in my physician-practice that's frequently been the case.)

I appreciate your comment pointing to the importance of carefully evaluating individuals manifesting new onset delusional ideation or other "mental" disturbance. It might be associated with an obscure condition, but likely enough it's the result of common maladies. The worst error is thinking one knows what's going on before (or not at all) thoroughly investigating the possibilities.