Arcanobacterium Pyogenes and Encrusted Pyelitis | Zendy

Albert Semaan | Zendy; Georges Abi Tayeh | Zendy; Josselin Abi Chebel | Zendy; Rabih Hallit | Zendy; Matta Matta | Zendy; Pascal Hajj | Zendy

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Arcanobacterium Pyogenes and Encrusted Pyelitis

Author(s) -

Albert Semaan,

Georges Abi Tayeh,

Josselin Abi Chebel,

Rabih Hallit,

Matta Matta,

Pascal Hajj

Publication year - 2019

Publication title -

future science oa

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.825

H-Index - 23

ISSN - 2056-5623

DOI - 10.2144/fsoa-2019-0021

Subject(s) - urinary system , medicine , context (archaeology) , renal pelvis , urology , surgery , biology , paleontology

Aim: Trueperella pyogenes is known to affect cattle, but was never isolated as a cause of human urinary tract infections. Clinical case: A 69-year-old male presented for recurring low urinary tract symptoms after a 20-day ciprofloxacin regimen for prostatitis. He previously underwent open right nephrolithotomy and left ureterovesical junction reimplantation for an iatrogenic distal ureteral stricture. Computed tomography showed spontaneous cortical calcifications; renoscopy was performed and deep cultures from the pelvis were taken; culture on chocolate agar revealed T. pyogenes . Intravenous teicoplanin for 3 weeks resulted in resolution of low urinary tract symptoms with regression of bladder and ureteral thickening. Conclusion: T. pyogenes can cause encrusted pyelitis in humans especially evoked in a context of persisting or recurring urinary tract infections.

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