Summary
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 the 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 byL. gasseri.
Zusammenfassung
Bei einem 66jährigen Mann entwickelte sich infolge eines Uretersteins rechts eine schwere Harnabflußstörung mit foudroyant-septischem Krankheitsbild. Da sowohl in dem eitrigen Urin des gestauten rechten Nierenbeckens als auch in zwei BlutkulturenLactobacillus gasseri nachgewiesen werden konnte, muß eine Urosepsis durch Laktobakterien angenommen werden. Durch Ureterenkatheterisierung und antibiotische Therapie mit Cefotaxim und Amoxicillin konnte die Sepsis beherrscht werden. Das Konkrement wurde medikamentös aufgelöst. Diabetes und Harnstau dürften die entscheidenden prädisponierenden Faktoren für diesen ungewöhnlichen Fall einer Urosepsis durchL. gasseri sein.
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Dickgießer, U., Weiss, N. & Fritsche, D. Lactobacillus gasseri as the cause of septic urinary infection. Infection 12, 14–16 (1984). https://doi.org/10.1007/BF01641017
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DOI: https://doi.org/10.1007/BF01641017