CASE REPORT
Streptococcus pneumoniae as an agent of urinary tract infection
 
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1
Department of Pharmaceutical Microbiology, Medical University, Lublin, Poland
2
Department of Internal Diseases, Medical University, Lublin, Poland
 
J Pre Clin Clin Res. 2018;12(3):87–88
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
Introduction. Streptococcus pneumoniae is a Gram-positive coccus causing mainly otitis media, community-acquired pneumonia, or even an invasive infections as bacteraemia. Generally, it is not accepted as the agent responsible for urinary tract infection (UTI). The case report describes S. pneumoniae isolate from the urine of 63-year-old woman with clinical and bacteriological symptoms of UTI, isolated independently in two bacteriological urine analyses. Conclusion.

Results:
The urine analyses showed leucocyturia. No other infections or genitourinary disorders were found. The patient was treated with BISEPTOL (trimethoprim/sulfamethoxazole) at a dose of 160/800 mg, twice a day for five days. After the treatment, the urinalysis showed the absence of the microorganisms in bacteriological evaluation.

Conclusions:
S. pneumoniae is considered to be a rare pathogen of UTI in adults.

CORRESPONDING AUTHOR:
Marek Juda   
Medical University of Lublin, Department of Pharmaceutical Microbiology, 1 Chodźki Street, 20-093 Lublin, Poland
 
REFERENCES (12):
1. Gilley RP, Orihuela CJ. Pneumococci in biofilms are non-invasive: implications on nasopharyngeal colonization. Front Cell Infect Microbiol. 2014; 4: 1–6.
2. Green RF, Selinger DS. Urinary tract infection and soft tissues abscess caused by Streptococcus pneumoniae. South Med J. 1980; 73(11): 1550–1551.
3. Dufke S, Kunze-Kronawitter H, Schubert S. Pyelonephritis and urosepsis caused by Streptococcus pneumoniae. J Clin Microbiol. 2004; 42(9): 4383–4385.
4. Burckhardt I, Zimmermann S. Streptococcus pneumoniae in urinary tracts of children with chronic kidney disease. Emerg Infect Dis. 2011; 17(1): 120–122.
5. Nguyen VQ, Penn RL. Pneumococcosuria in adults. J Clin Microbiol. 1988; 26(6): 1085–1087.
6. Krishna S, Sanjeevan KV, Sudheer A, Dinesh KR, Kamur A, Karim S. Pneumococcosuria: from bench to bedside. Indian J Med Microbiol. 2012; 30(1): 96–98.
7. Miller MA, Kaplan BS, Sorger S, Knowles KF. Pneumococcosuria in children. J Clin Microbiol. 1989; 27(1): 99–101.
8. Noble RC. Colonisation of the urethra with Streptococcus pneumoniae. Genitourin Med. 1985; 61(5): 345–346.
9. Torné AN, Dias JG, Quinten C, Hruba F, Busana MC, Lopalco PL, et al. ECDC country experts for pneumococcal disease. European enhanced surveillance of invasive pneumococcal disease in 2010: Data from 26 European countries in the post-heptavalent conjugate vaccine era. Vaccine. 2014: 32(29): 3644–3650.
10. Trnka P, Hiatt MJ, Tarantal AF, Matsell DG. Congenital urinary tract obstruction: defining markers of developmental kidney injury. Pediatr Res. 2012; 72(5): 446–454.
11. Yuan FF, Marks K, Wong M, Watson S, Leon E, McIntyre PB et al. Clinical relevance of TLR2, TLR4, CD14 and FcgammaRIIA gene polymorphism in Streptococcus pneumoniae infection. Immunol Cell Biol. 2008; 86(3): 268–270.
12. Choi R, Ma Y, Park KS, Lee NY, Cho HY, Kim YJ. Streptococcus pneumoniae as a uropathogen in children with urinary tract abnormalities. Pediatr Infect Dis J. 2013; 32: 1386–1388.
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