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As a pathogen, Budvicia aquatica is a rarely cultured micro‐organism. It was first isolated in the Czech Republic in 1983. It can chiefly be found in the waters of streams, rivers, wells and swimming pools, but it may cause infections in immunocompromised patients. Case presentation: On 4 October 2013, a 67‐year‐old male patient was admitted to the Intensive Care Unit from the Neurological Department due to a deterioration of his general state and the occurrence of acute respiratory failure in the course of Guillain–Barre Syndrome. A urine culture was routinely prepared when his urinary catheter was exchanged on 2 November 2013, and more than 105 c.f.u. B. aquatica ml–1 was cultured, although no symptoms of infection were diagnosed. The patient did not require antibiotic therapy. Conclusion: It is possible that the absence of symptoms of infection resulted from the immunomodulatory effect of IgG, which the patient had received to treat the underlying disease, and to the regular exchange of his urinary catheter.

A rarely isolated micro‐organism, Budvicia aquatica, cultured from urine of a patient with Guillain–Barré Syndrome