| Autor: |
Zahra Rehman, Jack Cullen, Samuel Withey, Francesca Kum |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Uro, Vol 1, Iss 4, Pp 198-201 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2673-4397 |
| DOI: |
10.3390/uro1040021 |
| Popis: |
Escherichia coli (E. coli)-related urosepsis associated with a ureteric stone has been shown to cause a systemic bacteraemia that can spread to other parts of the body. Hematogenous spread of infection is the most common cause of pyogenic spondylodiscitis. A 74-year-old female presented with acute left-sided flank pain and was found to have an obstructing 9 mm distal ureteric stone. After initial management involving ureteric stent insertion, the patient deteriorated and developed an E. coli associated bacteraemia, which proved difficult to treat. Further investigations revealed a subsequent spondylodiscitis, which required a 6-week course of antibiotics and no additional intervention. This case presents the likely association of stone-related bacteraemia, complicated by urinary tract instrumentation leading to spondylodiscitis, and demonstrates the importance of clinicians’ awareness of other causes of unresolving sepsis in an elderly patient. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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