Septic discitis and septic pulmonary emboli: rare complications of Proteus mirabilis urinary tract infection.

Szczegóły
Abstrakt

Tytuł:: Septic discitis and septic pulmonary emboli: rare complications of Proteus mirabilis urinary tract infection.
Autorzy:: Ahmad S; Internal Medicine, East Carolina University, Greenville, North Carolina, USA.
Cutrone M; Brody School of Medicine at East Carolina University, Greenville, North Carolina, USA.
Ikram S; General Surgery, SEGi University College Kota Damansara, Greenville, South Carolina, USA.
Yousaf A; Internal Medicine, McLaren Health Care Corp, Flint, Michigan, USA .
Źródło:: BMJ case reports [BMJ Case Rep] 2021 Aug 23; Vol. 14 (8). Date of Electronic Publication: 2021 Aug 23.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Discitis*/diagnosis
Discitis*/drug therapy
Mirabilis*
Proteus Infections*/complications
Proteus Infections*/diagnosis
Proteus Infections*/drug therapy
Urinary Tract Infections*/complications
Urinary Tract Infections*/diagnosis
Urinary Tract Infections*/drug therapy
Adult ; Female ; Humans ; Proteus mirabilis
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Contributed Indexing:: Keywords: bone and joint infections; infections; pulmonary embolism; urinary tract infections
Entry Date(s):: Date Created: 20210824 Date Completed: 20210825 Latest Revision: 20230824
Update Code:: 20240105
PubMed Central ID:: PMC8383856
DOI:: 10.1136/bcr-2021-243785
PMID:: 34426427
: Czasopismo naukowe

Proteus mirabilis is a gram-negative bacterium frequently considered a pathogen of the urinary tract. Septic discitis and septic pulmonary emboli resulting from P. mirabilis urosepsis is a rare phenomenon. We report a 39-year-old woman who was admitted to our hospital with a complicated urinary tract infection resulting in bacteraemia, septic discitis, paraspinal abscesses and septic emboli. She was treated with a prolonged course of intravenous antibiotics resulting in the clinical resolution of her symptoms. Based on our PubMed search of the English literature, this is only the second reported case of septic discitis caused by P. mirabilis This paper illustrates that physicians should include septic discitis caused by P. mirabilis as a possible aetiology of low back pain in patients with active or recently treated urinary tract infection. Additionally, this article discusses the pathogenesis and other complications resulting from P. mirabilis bacteraemia.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)

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