Hofmans M, Boel A, Van Vaerenbergh K, De Beenhouwer H
Acta Clin Belg. 2015 Jun;70(3):215-7. doi: 10.1179/2295333714Y.0000000111. Epub 2014 Dec 19.
Staphylococcus saprophyticus is a well-known cause of uncomplicated urinary tract infections, especially in young and sexually active women. Presence in blood cultures is rare and often attributed to contamination. When bacteremia is significant, it occurs mostly in patients with hematologic malignancies and is predominantly catheter-related. However, we describe a case of significant bacteremia with S. saprophyticus associated with urinary tract infection after extracorporeal shock wave lithotripsy of an ureterolithiasis in an otherwise healthy patient.
腐生葡萄球菌是引起单纯性尿路感染的常见病因,尤其在年轻且有性生活的女性中。在血培养中出现较为罕见,通常归因于污染。当发生明显菌血症时,多见于血液系统恶性肿瘤患者,且主要与导管相关。然而,我们描述了一例在体外冲击波碎石治疗输尿管结石后,一名原本健康的患者发生了与尿路感染相关的腐生葡萄球菌严重菌血症的病例。