Arcanobacterium pyogenes and encrusted pyelitis

Future Science OA

Josselin Abi Chebel¹  Albert Semaan¹  Georges Abi Tayeh¹  Rabih Hallit²  Matta Matta³  Pascal Hajj⁴ 

[1] 1Urology Department, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon;2Faculty of Medicine, Holy Spirit University of Kaslik – USEK, Lebanon;3Infectious Disease Department, BelleVue Medical Center, Mansourieh, Lebanon;5Urology Department, BelleVue Medical Center, Mansourieh, Lebanon;

关键词: Arcanobacterium pyogenes;    atypical pathogens;    encrusted pyelitis;    human;    pyelitis;    renal calcifications;   

DOI  :  10.2144/fsoa-2019-0021

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown