Nontypable Septicemia and Urinary Tract Infection Associated with Renal Stone Disease.

INTRODUCTION

commonly causes upper respiratory tract infections and has only rarely been reported etiology of urinary tract infections. Since the introduction of the b (Hib) vaccine, non-typable species now cause the majority of invasive disease in Europe.

CASE REPORT

We report a case of an adult man with non-typable 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

was identified in blood and urine and despite a tendency of increasing antibiotic resistance among , 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 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.