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A Case Report of Aerococcus urinae Urinary Tract Infection in an Elderly Male with Multimorbidity
Journal article   Open access   Peer reviewed

A Case Report of Aerococcus urinae Urinary Tract Infection in an Elderly Male with Multimorbidity

CUREUS JOURNAL OF MEDICAL SCIENCE, v 14(6), e26379
27 Jun 2022
PMID: 35911344
url
https://doi.org/10.7759/cureus.26379View
Published, Version of Record (VoR) Open

Abstract

Aerococcus urinae is a rare cause of urinary tract infection (UTI) seen in elderly males with multimorbidity. Incidence is estimated between 0.15 and 0.8%. This organism is frequently misidentified for other grampositive species. Missed or delayed diagnosis of A. urinae UTI can lead to systemic infection with high morbidity and potential mortality. We present a classic case of A. urinae UTI in a 91-year-old male with multiple comorbidities, including heart failure, diabetes mellitus, and metastatic prostate carcinoma. Empiric therapy with nitrofurantoin was unsuccessful, but intravenous ceftriaxone and bladder catheterization resulted in rapid symptomatic improvement. Variable antimicrobial sensitivities and resistance have been reported for A. urinae. Therefore, antimicrobial resistance testing should be performed for all patients with A. urinae infections.

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Collaboration types
International collaboration
Web of Science research areas
Microbiology
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