Dickgiesser U, Weiss N, Fritsche D
Infection. 1984 Jan-Feb;12(1):14-6. doi: 10.1007/BF01641017.
A 66-year-old patient developed severe urinary stasis due to a concrement in his right ureter; foudroyant septicemia followed. Lactobacillus gasseri was grown from pyoid urine from the right renal pelvis and in two blood cultures, thus suggesting septic urinary infection caused by lactobacilli. The infection was cured by catheterisation of right ureter and antibiotic treatment with cefotaxime and amoxicillin. The concrement was removed by dissolution. Diabetes and urinary stasis appear to be the main predisposing factors for this exceptional case of septic urinary infection caused by L. gasseri.
一名66岁患者因右侧输尿管结石出现严重尿潴留，随后发生暴发性败血症。从右侧肾盂脓性尿液及两次血培养中培养出加氏乳杆菌，提示为乳杆菌引起的败血症性尿路感染。通过右侧输尿管插管及使用头孢噻肟和阿莫西林进行抗生素治疗，感染得以治愈。结石通过溶解取出。糖尿病和尿潴留似乎是导致这例由加氏乳杆菌引起的特殊败血症性尿路感染病例的主要易感因素。
