Journal

The Journal of the Japanese Society for Clinical Microbiology

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[Vol.32 No.4 contents]
Japanese / English

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Article in Japanese

ArticleTitle A case of obstructive urinary tract infection with bloodstream infection by Oligella urethralis
Language J
AuthorList Akane Takata1), Hitomi Hoshino1), Kanako Sato2), Shinobu Tase3), Yuji Hirai4,5)
Affiliation 1) Department of Clinical Laboratory, Ebara Hospital
2) Department of Clinical Laboratory, Toshima Hospital
3) Department of Clinical Laboratory, Tama-Hokubu Medical Center
4) Department of Internal Medicine, Tama-Hokubu Medical Center
5) Department of Infectious Diseases Medicine, Tokyo Medical University Hachioji Medical Center
Publication J.J.C.M.: 32 (4), 262-266, 2022
Received March 22, 2022
Accepted June 24, 2022
Abstract We describe a case of a urinary tract infection and secondary bloodstream infection caused by Oligella urethralis. The patient, a 68-year-old woman, was bedridden due to cerebral palsy and was admitted to a long-term care facility. She developed fever in the facility and was suspected to have a urinary tract infection, so levofloxacin was administered and bladder washing was performed. She came to our hospital with the chief complaint of fever and poor urine output. On admission, urine and blood cultures revealed O. urethralis, and the patient recovered with tazobactam/piperacillin. The infection caused by O. urethralis may have been underestimated because O. urethralis is endemic in the urogenital and genital tracts. It is important to correctly detect O. urethralis, and for this purpose, it is important to understand the characteristic Gram stain image, extend the incubation period, and identify the organism by mass spectrometry and 16S rRNA gene analysis.
Keywords Oligella urethralis
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