Urinary Tract Infection in the Male Caused by Staphylococcus Epidermidis Associated with Diverticulum of the Bladder

Hagler, Sumner; Dobkin, David P.

doi:10.1177/000992289002900909

Cited by 9 publications

(6 citation statements)

References 5 publications

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“…Congenital bladder diverticulum involves no underlying diseases such as lower urinary tract symptoms and neurogenic bladder. Meanwhile, secondary bladder diverticulum is caused by an acquired lower urinary tract symptom leading to an increase in the internal pressure of the bladder [3]. Our own case had a history of prostatic hypertrophy and was thought to be secondary bladder diverticulum.…”

Section: Discussionmentioning

confidence: 76%

A case of ileus surgery using the water pressure method against ileus caused by incarceration into the inverted bladder diverticulum

et al. 2020

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Background: Ileus is quite a common disease, but is associated with various causes. As far as we know, there have only been one case of ileus due to inverted bladder diverticulum, which is extremely rare. Case presentation: The patient was a 53-year-old male. He made an emergency visit to our hospital with a chief complaint of left lower quadrant pain. He underwent right inguinal hernia surgery at 2 years of age with no history of laparotomy. An abdominal enhanced CT revealed inversion of the bladder left side wall where part of enlarged small intestine was found. Ascites were also found between the incarcerated small intestine and the bladder, leading to a diagnosis of strangulation ileus due to internal hernia and subsequent emergency surgery. A laparotomy revealed incarceration of the small intestine in the bladder left wall as a Richter type. The incarceration was rigid. We believed it would be difficult to pull out by extraction. Therefore, we inserted a Nelaton catheter between the incarcerated small intestine and the bladder and carried out the water pressure method to release the ileus. We did not perform an enterectomy since no manifest necrosis or perforation of the small intestine was found. The inverted bladder wall was a partial depression. We interpreted it to be a bladder diverticulum. We made a suture for occlusion with the bladder diverticulum inverted. Ileus arising from inverted bladder diverticulum is a very rare disease state. We hereinafter report on this case along with bibliographical considerations. Conclusions: We experienced a case of small intestine ileus due to inverted bladder diverticulum, which is very rare. In terms of preservation of the bowel, we believed the water pressure method to release the ileus was useful.

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Section: Discussionmentioning

confidence: 76%

A case of ileus surgery using the water pressure method against ileus caused by incarceration into the inverted bladder diverticulum

et al. 2020

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“…In pediatric UTIs, S. epidermidis is rarely isolated; indeed, in a review of the English literature, we found only six reported cases (Table 2 ) [ 6 – 9 ]. In contrast to our case, all six reported cases first developed pyelonephritis caused by S. epidermidis , and no precedent antibiotics had been administered.…”

Section: Discussionmentioning

confidence: 98%

“…Although information is limited and S. epidermidis infection may often be underdiagnosed or misdiagnosed as sample contamination, it appears evident that, overall, the prevalence of S. epidermidis in UTIs is extremely low. To the best of our knowledge, only six cases of pediatric UTIs caused by S. epidermidis have been reported [ 6 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Community-acquired methicillin-resistant Staphylococcus epidermidis pyelonephritis in a child: a case report

2014

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IntroductionStaphylococcus epidermidis is currently the most frequent pathogen of opportunistic and nosocomial infections worldwide. Most cases of Staphylococcus epidermidis infections are associated with indwelling medical devices and/or immunocompromised conditions. Community-acquired urinary tract infections are rare, particularly among pediatric populations, and clinicians often do not consider Staphylococcus epidermidis as a uropathogen.Case presentationA previously healthy Japanese boy developed pyelonephritis caused by Enterococcus faecalis at 10 months of age. Subsequently, he was diagnosed with severe bilateral vesicoureteral reflux (right side grade V, left side grade III), and was administered trimethoprim/sulfamethoxazole as the prophylaxis. At 18 months of age, he presented with fever. Gram staining of urine obtained through catheterization revealed gram-positive cocci. We suspected pyelonephritis caused by enterococci, and administered oral fluoroquinolone empirically. The fever promptly resolved, and eventually, methicillin-resistant Staphylococcus epidermidis was detected at significant levels in the urine. Thus, our final diagnosis was pyelonephritis caused by community-acquired methicillin-resistant Staphylococcus epidermidis.ConclusionsOur case indicated that even immunocompetent children without a urinary catheter can develop Staphylococcus epidermidis pyelonephritis. Staphylococcus epidermidis can be underdiagnosed or misdiagnosed as sample contamination in community-acquired urinary tract infections. Therefore, when Gram staining of appropriately obtained urine samples reveals gram-positive cocci, clinicians should take into consideration not only the possibility of enterococci but also staphylococci, including Staphylococcus epidermidis, particularly in children with urinary abnormalities and/or those receiving continuous antibiotic prophylaxis.

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“…Staphylococcus epidermidis is a mostly found as human skin microbiota but usually not regarded as the causative agent of UTI in children with no pre-existing conditions. Hagler and Dobkin (1990) stated that this organism was commonly associated with UTI's patient of indwelling urinary catheters and other instrumentation in the urinary tract. Staphylococcus epidermidis is considered as a contaminant when it is grown in healthy urine sample.…”

Section: Discussionmentioning

confidence: 99%

Diversity of urinary tract infection bacteria in children in Indonesia based on metagenomic approach

2018

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Christine G, Budiarti S, Astuti RI. 2018. Diversity of urinary tract infection bacteria in children in Indonesia based onmetagenomic approach. Biodiversitas 19: 1375-1381. Urinary tract infection (UTI) is a common bacterial infection in childhood in bothmales and females. The infection is usually caused by bacterial invasion of the urinary tract including the lower and the upper urinarytract. In Indonesia, to the best our knowledge, the diversity of urinary tract infection bacteria has not been reported yet. Therefore, theaims of this study were to identify the diversity of both culturable and unculturable bacteria in children diagnosed with UTI. In thisstudy, urine samples were obtained from different age groups ranging 6-17 years. Analysis of 16S rRNA gene sequence showed eightculturable isolates (SBU1, SBU2, SBU3, SBU4, SBU5, SBU6, SBU7, SBU8) are closely related to Escherichia coli, Klebsiella pneumoniae,Enterobacter aerogenes, Citrobacter sp. and Acinetobacter sp. with maximum identity up to 98-99%. Diversity of unculturable bacteriacommunity based on 16S rRNA gene was represented by 9 DGGE (Denaturing Gradient Gel Electrophoresis) bands. The ninerespective bands showed the similarity ranging from 84 up to 96% with Klebsiella sp, Escherichia sp., Lactococcus lactic, Shigellaflexneri and uncultured bacterium. Based on phylogenetic analysis, all culturable isolates belong to phylum Proteobacteria, which isdominated by family of Enterobacteriaceae. Interestingly, by using metagenomic approach, it is observed that bacteria belong to phylumFirmicutes were found in the UTI-diagnosed patients, in addition to those bacterial isolates from phylum Proteobacteria. To ourknowledge, this is the first study to report the occurrence of Firmicutes and Proteobacteria in UTI-diagnosed patients in Indonesia.

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Urinary Tract Infection in the Male Caused by Staphylococcus Epidermidis Associated with Diverticulum of the Bladder

Cited by 9 publications

References 5 publications

A case of ileus surgery using the water pressure method against ileus caused by incarceration into the inverted bladder diverticulum

A case of ileus surgery using the water pressure method against ileus caused by incarceration into the inverted bladder diverticulum

Community-acquired methicillin-resistant Staphylococcus epidermidis pyelonephritis in a child: a case report

Diversity of urinary tract infection bacteria in children in Indonesia based on metagenomic approach

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