Nontypable Haemophilus influenzae septicemia and urinary tract infection associated with renal stone disease

Marianne Stærk, Sara A. Tolouee, Jens J. Christensen

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Abstrakt

Introduction: Haemophilus influenzae commonly causes upper respiratory tract infections and has only rarely been reported etiology of urinary tract infections. Since the introduction of the Haemophilus influenzae b (Hib) vaccine, non-typable haemophilus species now cause the majority of invasive disease in Europe. Case Report: We report a case of an adult man with non-typable Haemophilus influenzae septicemia, urinary tract infection and bilateral renal stone disease. The patient presented with right sided flank pain and a CT scan showed bilateral renal stones and a right sided ureteral stone causing obstruction. Results and Discussion: Haemophilus influenzae was identified in blood and urine and despite a tendency of increasing antibiotic resistance among Haemophilus influenzae, our strain was susceptible to all antibiotics tested. Treatment consisted of 3 days of intravenous cefuroxime, insertion of a right sided JJ ureteric stent and 5 days of peroral ciprofloxacin after discharge. Physicians and microbiologists should be aware of Haemophilus influenzae as a possible urinary tract pathogen, especially when urinary tract abnormalities are present, and take the risk of antibiotic resistance into consideration at initial treatment.

OriginalsprogEngelsk
Sider (fra-til)243-247
Antal sider5
TidsskriftOpen Microbiology Journal
Vol/bind12
Udgave nummer1
DOI
StatusUdgivet - 1 jan. 2018

Fingeraftryk Udforsk hvilke forskningsemner 'Nontypable Haemophilus influenzae septicemia and urinary tract infection associated with renal stone disease' indeholder.

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