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Published on: February 23, 2014
Streptococcus pneumoniae as a uropathogen in children with urinary tract abnormalities
Rihwa Choi1, Youngeun Ma, Kyung Sun Park
1From the Departments of *Laboratory Medicine and Genetics and †Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Streptococcus pneumoniae can cause urinary tract infections, particularly in children with existing urinary tract abnormalities. This finding highlights the bacterium as a significant uropathogen in this vulnerable population.
Area of Science:
- Pediatric Infectious Diseases
- Urology
- Microbiology
Background:
- Urinary tract infections (UTIs) are common in children.
- The etiology of UTIs is typically bacterial, with common uropathogens identified.
- The role of Streptococcus pneumoniae in UTIs, especially in children with anatomical abnormalities, requires further elucidation.
Observation:
- Three pediatric cases are presented involving urinary tract abnormalities and significant bacteriuria due to Streptococcus pneumoniae.
- A review of existing literature on Streptococcus pneumoniae as a cause of UTIs was conducted.
Findings:
- The presence of large numbers of Streptococcus pneumoniae in the urine of children with urinary tract abnormalities is a notable observation.
- These findings support the classification of Streptococcus pneumoniae as a potential uropathogen.
Implications:
- This study suggests that Streptococcus pneumoniae should be considered in the differential diagnosis of UTIs in children, particularly those with underlying urinary tract abnormalities.
- Further research into the pathogenic mechanisms of Streptococcus pneumoniae in the urinary tract may be warranted.
- Clinical guidelines for UTI management in children may need to consider the role of this bacterium.
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Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...

