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猫接触史且尿路生理异常患者的尿路感染:病例报告及文献综述

Urinary tract infection with in a patient with cat exposure and abnormal urinary tract physiology: Case report and literature review.

作者信息

Costanzo Joel T, Wojciechowski Amy L, Bajwa Rajinder P S

机构信息

Niagara Falls Memorial Medical Center, 621 10th Street, Niagara Falls, NY, 14302, United States.

D'Youville College School of Pharmacy, 320 Porter Avenue, Buffalo, NY 14201, United States.

出版信息

IDCases. 2017 Jul 12;9:109-111. doi: 10.1016/j.idcr.2017.07.002. eCollection 2017.

Abstract

is a gram-negative organism that commonly colonizes the mouth of cats and dogs, and is known to cause infection in humans associated with animal bites or scratches. Sites of infection other than skin and soft tissue are rare, but have been reported in patients with specific risk factors including anatomical abnormalities or immunosuppression. Herein, we report a case of a symptomatic urinary tract infection caused by in a 59 year old female who presented to the hospital with complaints of systemic symptoms including malaise, rigors, and chills, as well as thick, malodorous urine. The patient self-catheterized multiple times daily due to urostomy with Kock pouch. Treatment with piperacillin/tazobactam followed by amoxicillin resulted in resolution of the infection.

摘要

是一种革兰氏阴性菌,通常寄生于猫和狗的口腔,已知可导致与动物咬伤或抓伤相关的人类感染。除皮肤和软组织外的感染部位很少见,但在有特定危险因素(包括解剖异常或免疫抑制)的患者中已有报道。在此,我们报告一例59岁女性因该菌引起的有症状尿路感染病例,该患者因科克贮袋尿流改道术每日多次自行导尿,因全身症状包括不适、寒战和发冷以及尿液浓稠、有异味而入院。患者接受哌拉西林/他唑巴坦治疗,随后使用阿莫西林,感染得以治愈。

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