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http://dx.doi.org/10.3904/kjm.2014.87.2.234

A Case of Urosepsis Caused by Aerococcus viridans  

Jung, Jin Sung (Department of Internal Medicine, KEPCO Medical Center)
Chang, Se Heon (Department of Internal Medicine, KEPCO Medical Center)
Yoo, Seung Hyen (Department of Internal Medicine, KEPCO Medical Center)
Koo, Nam Ho (Department of Internal Medicine, KEPCO Medical Center)
Park, Yong Won (Department of Internal Medicine, KEPCO Medical Center)
Cheon, Mi Ju (Department of Internal Medicine, KEPCO Medical Center)
Chae, Yun Tae (Department of Internal Medicine, KEPCO Medical Center)
Publication Information
The Korean Journal of Medicine / v.87, no.2, 2014 , pp. 234-239 More about this Journal
Abstract
Aerococcus viridans is a rare pathogen in humans, with only six cases of A. viridans urinary tract infections reported worldwide. Nosocomial urinary tract infections with bacteremia caused by A. viridians are even rarer, with no prior reports of urosepsis caused by A. viridans occurring in the Republic of Korea. Here we report a case of urosepsis caused by A. viridans in a 79 year-old female nursing home resident. The patient was admitted to the hospital presenting a fever of $39^{\circ}C$, chills, and oliguria for two days prior to admission. Urine culture yielded a robust growth of $10^5CFU/mL$ of A. viridians, with blood culture positive for the same organism. Following diagnosis, the patient was treated with ciprofloxacin intravenously for 2 weeks, resulting in clearance of the infection and a full recovery from urosepsis. Although A. viridans is rarely associated with human infections, this case shows that, under the right conditions, it can be responsible for severe infections like urosepsis.
Keywords
Aerococcus viridians; Urinary tract infections; Bacteremia;
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