Bautista Aaron L, Wissa Ramy, Fahim Mariam
Medicine, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, USA.
Medicine, University of California, Los Angeles, Los Angeles, USA.
Cureus. 2024 Mar 30;16(3):e57262. doi: 10.7759/cureus.57262. eCollection 2024 Mar.
The case presentation discusses the clinical evaluation and treatment of a two-year-old female exhibiting symptoms such as dysuria, constipation, and foul-smelling urine. Upon evaluation, the patient was found to be co-infected with Raoultella planticola and Escherichia coli. This co-infection poses unique challenges in diagnosis and treatment, as both pathogens may contribute to the manifestation of symptoms. The initial diagnosis of Raoultella planticola is notable, given its relatively rare occurrence and the potential for misdiagnosis. This case study contributes to our understanding of diagnosing and distinguishing symptoms at various stages of the illness, particularly in cases of co-infection. Following an initial urinalysis and urine culture confirming the presence of both pathogens, a 10-day course of antibiotics was prescribed. Subsequent examinations at Rady Children's Hospital-San Diego included kidney and abdomen imaging to rule out underlying issues. The co-infection underscores the importance of thorough diagnostic procedures and tailored treatment approaches. Additionally, it highlights the need for heightened awareness among healthcare providers regarding emerging pathogens and their potential clinical implications.
该病例报告讨论了一名两岁女性的临床评估和治疗情况，该女性表现出尿痛、便秘和尿液有异味等症状。经评估，发现该患者同时感染了植生拉乌尔菌和大肠杆菌。这种合并感染在诊断和治疗方面带来了独特的挑战，因为两种病原体都可能导致症状的出现。植生拉乌尔菌的初步诊断值得关注，因其发生相对罕见且有误诊的可能性。本病例研究有助于我们理解在疾病的各个阶段进行诊断和区分症状，特别是在合并感染病例中。在初步尿液分析和尿培养确认两种病原体均存在后，开出了为期10天的抗生素疗程。随后在圣地亚哥拉迪儿童医院进行的检查包括肾脏和腹部成像，以排除潜在问题。这种合并感染强调了全面诊断程序和量身定制治疗方法的重要性。此外，它凸显了医疗服务提供者提高对新兴病原体及其潜在临床意义认识的必要性。
