Non-diphtheroid sepsis is rare and has affected only immunocompromised or particularly predisposed patients so far. We present the first case of urosepsis caused by in a 67-year-old woman, without any known immunodeficiencies and in absence of any immunosuppressive therapy, admitted to the hospital for fever and acute dyspnea. This work suggests a new approach in evaluating the isolation of , especially if isolated from blood. In particular, it highlights the potential infectious role of (often considered a contaminant and only rarely identified as an etiological agent of infections) and its clinical consequences, detailing also interesting aspects about its microbiological diagnosis and relative therapy and clarifying contrasting data of literature.
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http://dx.doi.org/10.1080/17460913.2024.2344953 | DOI Listing |
HCA Healthc J Med
December 2024
Trident Medical Center, Charleston, SC.
Background: Nitrofurantoin is a prevalent antibiotic used to treat urinary tract infections. Despite nitrofurantoin's general safety, it can cause serious side effects, including acute pulmonary toxicity, fulminant hepatitis, and severe systemic inflammatory responses, which may mimic conditions such as ischemia and infection. However, reports of acute systemic inflammatory response syndrome after nitrofurantoin ingestion are uncommon in medical literature.
View Article and Find Full Text PDFEpidemiol Infect
January 2025
UK Health Security Agency, London, UK.
Extraintestinal pathogenic (ExPEC) causes invasive disease (IED), including bacteraemia and (uro)sepsis, resulting in a high disease burden, especially among older adults. This study describes the epidemiology of IED in England (2013-2017) by combining laboratory surveillance and clinical data. A total of 191 612 IED cases were identified.
View Article and Find Full Text PDFCureus
November 2024
Internal Medicine, MedStar Franklin Square Medical Center, Baltimore, USA.
Drug-induced liver injury (DILI) presents significant diagnostic challenges, particularly in patients with multiple comorbidities. We report a case involving a 72-year-old female treated with cefepime for urosepsis, who developed markedly elevated liver enzymes after two weeks of therapy. After excluding other potential causes, including viral hepatitis, ischemia, and autoimmune hepatitis, cefepime-induced mixed pattern liver injury was determined to be the likely etiology of the elevated liver enzymes.
View Article and Find Full Text PDFInt J Surg Case Rep
November 2024
Urology Department, The First Affiliated Hospital, Hengyang Medical School, University of South China, China. Electronic address:
Introduction: Traditional Percutaneous Nephrolithotomy (PCNL) typically involves the retrograde placement of a ureteral catheter. However, this procedure can present additional risks in pediatric patients.
Case Presentation: We report a case of a 10-year-old boy, weighing 33 kg, diagnosed with a right upper ureteral stone complicated by hydronephrosis and urosepsis.
Clin Radiol
October 2024
Norwich Medical School, University of East Anglia, Norwich, United Kingdom; Department of Radiology, Norfolk & Norwich University Hospital, Norwich, United Kingdom.
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