Pyelonephritis with bacteremia caused by Listeria monocytogenes: A case report

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• 作者：Shunsuke Uno^a ; ^{br.op45@gmail.com} ; Ryota Hase^a ; ¹ ; Akihiro Toguchi^b ; ¹ ; Yoshihito Otsuka^b ; ¹ ; Naoto Hosokawa^a ; ¹
• 关键词：Listeria monocytogenes ; Obstructive pyelonephritis ; Uterus carcinoma ; Nephrostomy
• 刊名：Journal of Infection and Chemotherapy
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：23
• 期：2
• 页码：111-113
• 全文大小：262 K
• 卷排序：23

文摘

Listeria monocytogenes is a well-known cause of meningitis, colitis, and bacteremia; however, obstructive pyelonephritis caused by L. monocytogenes has never been reported. We herein report on a 90-year-old Japanese woman with obstructive pyelonephritis and bacteremia due to uterus carcinoma invading the ureter. She was admitted to our hospital complaining of fever and chills, and her physical examination revealed left costovertebral angle tenderness. Computed tomography showed hydronephrosis and complete ureteral obstruction due to tumor invasion. Blood and urine cultures upon nephrostomy revealed the growth of L. monocytogenes. We treated the patient with two weeks of intravenous ampicillin and an additional one-week treatment of oral sulfamethoxazole/trimethoprim. This case shows the importance to recognize L. monocytogenes as a potential causative agent of urinary tract infection.