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Microbiological Rapid On-Site Evaluation for Pulmonary Infectious Diseases
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Pneumococcusuria: From bench to bedside
S Krishna1, K V Sanjeevan, A Sudheer
1Department of Microbiology, Amrita Institute of Medical Sciences, Cochin- 682 041, Kerala, India. sushmakrishna@aims.amrita.edu
Indian Journal of Medical Microbiology
|February 25, 2012
Summary
Pneumococcusuria, caused by Streptococcus pneumoniae in urine, occurred in six patients with predisposing factors. Five patients with urinary tract infection (UTI) symptoms were successfully treated, highlighting S. pneumoniae as an emerging UTI pathogen.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Urology
Background:
- Streptococcus pneumoniae is a common cause of pneumonia and meningitis.
- Urinary tract infections (UTIs) are typically caused by Gram-negative bacteria.
- Pneumococcal UTI is a rare condition, with limited documented cases.
Observation:
- This study reports six cases of pneumococcusuria between May 2008 and May 2010.
- All patients presented with predisposing factors for infection.
- Isolation of Streptococcus pneumoniae from urine samples was confirmed in all cases.
Findings:
- Five of the six patients exhibited signs and symptoms consistent with urinary tract infections (UTIs).
- These five patients received appropriate treatment and were cured of their infections.
- The study identified potential associations between pneumococcal UTI and urinary tract abnormalities such as hydronephrosis and renal stones.
Implications:
- Pneumococcal UTI should be considered in patients presenting with UTI symptoms, especially those with underlying urinary tract abnormalities.
- Streptococcus pneumoniae is emerging as a significant pathogen in UTIs.
- Accurate microbiological diagnosis correlating with clinical presentation is crucial for effective antibiotic therapy in pneumococcal UTIs.
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