Aerococcus urinae: An Emerging Cause of Urinary Tract Infection in Older Adults with Multimorbidity and Urologic Cancer

Aerococcus urinae: An Emerging Cause of Urinary Tract Infection in Older Adults with Multimorbidity and Urologic Cancer
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DOI:
10.1016/j.eucr.2017.03.022
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发表时间:
2017-07-01
影响因子:
0.5
通讯作者:
Garg, Tullika
Garg, Tullika
中科院分区:
其他
文献类型:
--
作者:
Higgins, Andrew;Garg, Tullika

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尿气球菌是一种从尿液培养物中分离出来的罕见微生物。我们报告一位80岁男性膀胱癌合并多发性膀胱炎的病例。尿路感染A.在患有多发性硬化、慢性尿潴留或留置导尿管的老年人中,尿可引起简单和复杂的UTI、菌血症和心内膜炎。A.尿治疗应使用青霉素、阿莫西林和呋喃妥因。由于抗生素耐药性增加,尿培养应包括抗生素敏感性试验。及时和培养特异性治疗对于避免感染的临床进展至关重要。(C)2017作者爱思唯尔公司出版
Aerococcus urinae is a rare organism isolated from urine cultures. We present a case of an 80 year-old male with bladder cancer and multimorbidity who developed A. urinae infection. A. urinae may cause simple and complicated UTIs, bacteremia, and endocarditis in older adults with multimorbidity, chronic urinary retention, or indwelling catheters. A. urinae treatment should employ penicillin, amoxicillin, and nitrofurantoin. Due to increasing antibiotic resistance, urine culture should include antibiotic susceptibility testing. Prompt and culture-specific treatment is critical to avoid clinical progression of the infection. (C) 2017 The Authors. Published by Elsevier Inc.