1887

JMM Case Reports

Volume 5, Issue 7

Staphylococcus haemolyticus epididymo-orchitis and bacteraemia: a case report Open Access

Abstract

Introduction. Although more often recognized as a culprit in female urinary tract infection, coagulase-negative staphylococci (CoNS) can cause severe genitourinary infections in men. While positive blood cultures with CoNS are usually thought to be contaminants, in the setting of a severe genito-urinary infection they can represent true infection.

Case presentation. We present the case of a 70-year-old male without a central venous catheter or urinary catheter who developed Staphylococcus haemolyticus bloodstream infection secondary to epididymo-orchitis.

Conclusion. This case highlights the importance of prompt recognition of serious CoNS infections, including bacteraemia, in the setting of CoNS genitourinary tract infections.

  • Received:
  • Accepted:
  • Published Online:
Keyword(s): bacteraemia , epididymitis , epididymo-orchitis , orchitis and Staphylococcus haemolyticus
© Microbiology Society
Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.005157
2018-07-05
2019-10-18
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/5/7/jmmcr005157.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.005157&mimeType=html&fmt=ahah

References

  1. Hayami H, Takahashi S, Ishikawa K, Yasuda M, Yamamoto S et al. Nationwide surveillance of bacterial pathogens from patients with acute uncomplicated cystitis conducted by the Japanese surveillance committee during 2009 and 2010: antimicrobial susceptibility of Escherichia coli and Staphylococcus saprophyticus. J Infect Chemother 2013;19:393–403 [CrossRef]
     [Google Scholar]
  2. Lo DS, Shieh HH, Ragazzi SL, Koch VH, Martinez MB et al. Community-acquired urinary tract infection: age and gender-dependent etiology. J Bras Nefrol 2013;35:93–98 [CrossRef][PubMed]
     [Google Scholar]
  3. Eriksson A, Giske CG, Ternhag A. The relative importance of Staphylococcus saprophyticus as a urinary tract pathogen: distribution of bacteria among urinary samples analysed during 1 year at a major Swedish laboratory. APMIS 2013;121:72–78 [CrossRef][PubMed]
     [Google Scholar]
  4. Hovelius B, Colleen S, Mårdh PA. Urinary tract infections in men caused by Staphylococcus saprophyticus. Scand J Infect Dis 1984;16:37–41 [CrossRef][PubMed]
     [Google Scholar]
  5. von Eiff C, Peters G, Heilmann C. Pathogenesis of infections due to coagulase-negative staphylococci. Lancet Infect Dis 2002;2:677–685 [CrossRef][PubMed]
     [Google Scholar]
  6. Huebner J, Goldmann DA. Coagulase-negative staphylococci: role as pathogens. Annu Rev Med 1999;50:223–236 [CrossRef][PubMed]
     [Google Scholar]
  7. Leighton PM, Little JA. Identification of coagulase-negative staphylococci isolated from urinary tract infections. Am J Clin Pathol 1986;85:92–95 [CrossRef][PubMed]
     [Google Scholar]
  8. Costa SF, Miceli MH, Anaissie EJ. Mucosa or skin as source of coagulase-negative staphylococcal bacteraemia?. Lancet Infect Dis 2004;4:278–286 [CrossRef][PubMed]
     [Google Scholar]
  9. Becker K, Heilmann C, Peters G. Coagulase-negative staphylococci. Clin Microbiol Rev 2014;27:870–926 [CrossRef][PubMed]
     [Google Scholar]
  10. Hung YM, Wang JH, Wann SR. Vancomycin-resistant Staphylococcus hemolyticus bacteremia treated successfully by intravenous daptomycin and catheter removal in a hemodialysis patient. Ther Apher Dial 2015;19:302 [CrossRef][PubMed]
     [Google Scholar]
  11. Asaad AM, Ansar Qureshi M, Mujeeb Hasan S. Clinical significance of coagulase-negative staphylococci isolates from nosocomial bloodstream infections. Infect Dis 2016;48:356–360 [CrossRef][PubMed]
     [Google Scholar]
  12. Hashmi A, Abdullah FE, Abdullah NE, Kazmi SU. Species identification and antibiotic susceptibilities of coagulase-negative staphylococci isolated from urinary tract infection specimens. J Coll Physicians Surg Pak 2016;26:581–584[PubMed]
     [Google Scholar]
  13. Magarifuchi H, Kusaba K, Yamakuchi H, Hamada Y, Urakami T et al. Staphylococcus saprophyticus native valve endocarditis in a diabetic patient with neurogenic bladder: a case report. J Infect Chemother 2015;21:695–699 [CrossRef][PubMed]
     [Google Scholar]
  14. Evans MW, Borrero S, Yabes J, Rosenfeld EA. Sexual behaviors and sexually transmitted infections among male veterans and nonveterans. Am J Mens Health 2017;11:791–800 [CrossRef][PubMed]
     [Google Scholar]
  15. Pilatz A, Hossain H, Kaiser R, Mankertz A, Schüttler CG et al. Acute epididymitis revisited: impact of molecular diagnostics on etiology and contemporary guideline recommendations. Eur Urol 2015;68:428–435 [CrossRef][PubMed]
     [Google Scholar]
  16. Rupp ME, Soper DE, Archer GL. Colonization of the female genital tract with Staphylococcus saprophyticus. J Clin Microbiol 1992;30:2975–2979[PubMed]
     [Google Scholar]
  17. Raz R, Colodner R, Kunin CM. Who are you – Staphylococcus saprophyticus?. Clin Infect Dis 2005;40:896–898 [CrossRef][PubMed]
     [Google Scholar]
  18. Lozano V, Fernandez G, Spencer PL, Taylor SL, Hatch R. Staphylococcus epidermidis in urine is not always benign: a case report of pyelonephritis in a child. J Am Board Fam Med 2015;28:151–153 [CrossRef][PubMed]
     [Google Scholar]
  19. Gunn BA, Davis CE. Staphylococcus haemolyticus urinary tract infection in a male patient. J Clin Microbiol 1988;26:1055–1057[PubMed]
     [Google Scholar]
  20. Hitzenbichler F, Simon M, Salzberger B, Hanses F. Clinical significance of coagulase-negative staphylococci other than S. epidermidis blood stream isolates at a tertiary care hospital. Infection 2017;45:179–186 [CrossRef][PubMed]
     [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.005157
Loading

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error