Urinary tract infection by streptococcus equinus: a pediatric case presentation
Abstract
Abstract
Streptococcus equinus is a non-enterococcal group D Streptococcus, Gram positive, non- hemolytic, lactic acid bacterium. The incidence of colonization in humans increases in rural areas, where there is high risk of exposure to animal feces and fermented food products.
It is associated with specific diseases, such as osteoarticular infections, meningitis, biliary infections, infective endocarditis and colorectal cancer. A male 10-year-old patient, asymptomatic, without underlying medical conditions, was referred for routine check-up at the Outpatient Pediatric Clinic of the Nikea General Hospital, Piraeus, Greece. According to patient history, he had spent two weeks at a summer camp, where he had direct contact with horses, such as horse riding, horse feeding, watering, horse care, etc. His brother, although he had the same contacts and activities, did not present an infection. Examinations of the eyes, mouth, ears, nose, throat and abdomen were normal. Laboratory tests showed mild leukocytosis (12,000/mm3, with 80% neutrophils) and slightly increased erythrocyte sedimentation rate (30 mm/h).Urinalysis and microscopy revealed bacteriuria by nitrite test and pyuria, so urine cultures were performed (Multistix 10 SG Reagent Strips, Siemens Healthineers). The urine culture grew monomicrobial S. equinus 105 CFU/ml. The bacterium was identified by the RapIDTM REMEL ONE identification system (Thermo Fisher Scientific). Antimicrobial susceptibility testing revealed…
Read the paper
Related studies
- Association of lower urinary tract symptoms and OAB severity with quality of life and mental health in China, Taiwan and South Korea: results from a cross-sectional, population-based study
- Ten-Day Quadruple Therapy Comprising Low-Dose Rabeprazole, Bismuth, Amoxicillin, and Tetracycline Is an Effective and Safe First-Line Treatment for Helicobacter pylori Infection in a Population with High Antibiotic Resistance: a Prospective, Multicenter, Randomized, Parallel-Controlled Clinical Trial in China
- The Role of the NLR and PLR in Urinary Tract Infection
- Threat of Antimicrobial Resistance among Pilgrims with Infectious Diseases during Hajj: Lessons Learnt from COVID-19 Pandemic
- Leclercia adecarboxylata urinary tract infection in a patient with bladder cancer and recurrent hematuria
- A Case Series of Staphylococcus lugdunensis Infection in Cancer Patients at an Academic Cancer Institute in the United States
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.