1887

Abstract

Introduction:

We describe an unusual case of anaerobic bacteraemia caused by and , both commensal organisms normally found within human oropharyngeal, gastrointestinal and genitourinary tracts.

Case presentation:

One week following a routine colonoscopy with polypectomy, a 65‐year‐old male with renal calculi was admitted with a 3‐day history of severe abdominal pain and chills. He required urgent placement of a percutaneous nephrostomy tube. Urine cultures were negative but blood cultures were positive for and .

Conclusions:

We hypothesized that, following his colonoscopy, the patient developed transient bacteraemia with commensal gut organisms. In the setting of multiple ureteral calculi, this transient bacteraemia became a clinically significant infection, manifesting as acute ureterolithiasis with concurrent bloodstream infection. The routine collection of blood for anaerobic culture led to pathogen identification and appropriate antimicrobial therapy.

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2014-09-01
2020-01-27
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