Arcanobacterium pyogenes and encrusted pyelitis.
| Autor: | Semaan A; Urology Department, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon., Tayeh GA; Urology Department, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon., Chebel JA; Urology Department, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon., Hallit R; Faculty of Medicine, Holy Spirit University of Kaslik - USEK, Lebanon.; Infectious Disease Department, BelleVue Medical Center, Mansourieh, Lebanon., Matta M; Infectious Disease Department, BelleVue Medical Center, Mansourieh, Lebanon.; Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon., Hajj P; Urology Department, BelleVue Medical Center, Mansourieh, Lebanon. |
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| Jazyk: | angličtina |
| Zdroj: | Future science OA [Future Sci OA] 2019 Dec 09; Vol. 6 (1), pp. FSO430. Date of Electronic Publication: 2019 Dec 09. |
| DOI: | 10.2144/fsoa-2019-0021 |
| Abstrakt: | Aim: Trueperella pyogenes is known to affect cattle, but was never isolated as a cause of human urinary tract infections. Clinical Case: A 69-year-old male presented for recurring low urinary tract symptoms after a 20-day ciprofloxacin regimen for prostatitis. He previously underwent open right nephrolithotomy and left ureterovesical junction reimplantation for an iatrogenic distal ureteral stricture. Computed tomography showed spontaneous cortical calcifications; renoscopy was performed and deep cultures from the pelvis were taken; culture on chocolate agar revealed T. pyogenes . Intravenous teicoplanin for 3 weeks resulted in resolution of low urinary tract symptoms with regression of bladder and ureteral thickening. Conclusion: T. pyogenes can cause encrusted pyelitis in humans especially evoked in a context of persisting or recurring urinary tract infections. Competing Interests: Financial & competing interests disclosure The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. No writing assistance was utilized in the production of this manuscript. (© 2019 Albert Semaan.) |
| Databáze: | MEDLINE |
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