A Case Report of Aerococcus urinae Urinary Tract Infection in an Elderly Male with Multimorbidity

被引：3

作者：

Balouch, Bailey ^{[1
]}

Munankami, Salina ^{[2
]}

Acharya, Ayushma ^{[3
]}

Shrestha, Manish ^{[4
]}

Rijal, Swarup Sharma ^{[5
,6
]}

机构：

[1] Drexel Univ, Coll Med, Philadelphia, PA 19104 USA

[2] Kathmandu Med Coll, Gen Med, Kathmandu, Nepal

[3] Helping Hands Community Hosp, Gen Med, Kathmandu, Nepal

[4] Reading Hosp, Internal Med, Reading, Berks, England

[5] Reading Hosp Tower Hlth, Internal Med, Reading, Berks, England

[6] Tower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2022年 / 14卷 / 06期

关键词：

symptomatic uti; urinary tract infection (uti); prostate cancer; antibiotics therapy; aerococcus urinae;

D O I：

10.7759/cureus.26379

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aerococcus urinae is a rare cause of urinary tract infection (UTI) seen in elderly males with multimorbidity. Incidence is estimated between 0.15 and 0.8%. This organism is frequently misidentified for other grampositive species. Missed or delayed diagnosis of A. urinae UTI can lead to systemic infection with high morbidity and potential mortality. We present a classic case of A. urinae UTI in a 91-year-old male with multiple comorbidities, including heart failure, diabetes mellitus, and metastatic prostate carcinoma. Empiric therapy with nitrofurantoin was unsuccessful, but intravenous ceftriaxone and bladder catheterization resulted in rapid symptomatic improvement. Variable antimicrobial sensitivities and resistance have been reported for A. urinae. Therefore, antimicrobial resistance testing should be performed for all patients with A. urinae infections.

引用

页数：5

共 18 条

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