梗阻性肾盂肾炎致腐生葡萄球菌菌血症1例。

IF 1.5 4区医学 Q3 INFECTIOUS DISEASES Journal of Infection and Chemotherapy Pub Date : 2025-04-01 Epub Date: 2025-01-20 DOI:10.1016/j.jiac.2025.102629

Kyoko Yoshida , Naoki Okawa , Tsuyama Nobuaki , Yoshihito Otsuka , Naoto Hosokawa

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引用次数: 0

摘要

在此，我们提出的情况下，64岁的妇女诊断为左侧肾盂肾炎。从两组血培养中分离出革兰氏阳性球菌。这些球菌后来被鉴定为腐生葡萄球菌。虽然腐生葡萄球菌是年轻女性尿路感染（UTI）的常见病原菌，但从尿路感染患者血液样本中分离到的腐生葡萄球菌等凝固酶阴性葡萄球菌由于其罕见性，常被认为是污染的结果。腐生葡萄球菌耐甲氧西林菌的比例较高，准确的菌株鉴定和药敏试验是发现真正的菌血症并进行适当治疗的必要条件。

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A case of Staphylococcus saprophyticus bacteremia caused by obstructive pyelonephritis

Herein, we present the case of a 64-year-old woman diagnosed with left calculous pyelonephritis. Gram-positive cocci in clusters were isolated from two sets of her blood culture. These cocci were later identified as Staphylococcus saprophyticus.

Although S. saprophyticus is a common causative pathogen of urinary tract infection (UTI) among young women, coagulase-negative staphylococci including S. saprophyticus isolated from UTI patients’ blood samples were often considered a result of contamination because of their rareness. Considering the high percentage of methicillin-resistant strains of S. saprophyticus, accurate strain identification and antimicrobial susceptibility testing are necessary to detect true bacteremia and its appropriate treatment.

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来源期刊

Journal of Infection and Chemotherapy INFECTIOUS DISEASES-PHARMACOLOGY & PHARMACY

CiteScore

4.10

自引率

4.50%

发文量

303

审稿时长

47 days

期刊介绍： The Journal of Infection and Chemotherapy (JIC) — official journal of the Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases — welcomes original papers, laboratory or clinical, as well as case reports, notes, committee reports, surveillance and guidelines from all parts of the world on all aspects of chemotherapy, covering the pathogenesis, diagnosis, treatment, and control of infection, including treatment with anticancer drugs. Experimental studies on animal models and pharmacokinetics, and reports on epidemiology and clinical trials are particularly welcome.