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Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice

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Pasteurella aerogenes as an Asymptomatic Bacteriuria Agent.

Demet Alaygut¹, Aynur Engin²

¹Department of Pediatric Nephrology, Faculty of Medicine, Cumhuriyet University, 58140 Sivas, Turkey.

Journal of Tropical Pediatrics

|April 27, 2017

Summary

Asymptomatic bacteriuria (ASB) involves bacteria in urine without symptoms. Pasteurella aerogenes, a novel agent, was identified in an 11-year-old girl with a neurogenic bladder undergoing clean intermittent catheterization.

Keywords:

Pasteurella aerogenes asymptomatic bacteriuria neurogenic bladder

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Area of Science:

Urology
Microbiology
Pediatrics

Background:

Asymptomatic bacteriuria (ASB) is defined as significant bacteriuria without urinary tract infection symptoms.
Common ASB pathogens include E. coli, Klebsiella, and Streptococcus spp.
Certain patient groups, including pregnant women and those with specific medical conditions, require ASB treatment.

Observation:

Catheterized urine specimens are more reliable for diagnosing ASB than voided specimens.
Pasteurella spp. has not been previously reported as a causative agent of ASB.
An 11-year-old girl with a neurogenic bladder managed with clean intermittent catheterization presented with ASB.

Findings:

The causative agent identified in the patient was Pasteurella aerogenes.
This case represents a novel finding of Pasteurella aerogenes as an ASB agent.
The patient's clinical presentation and management highlight the importance of considering unusual pathogens in ASB.

Implications:

This finding expands the spectrum of known pathogens associated with ASB.
It underscores the need for vigilance in identifying causative agents, especially in patients with indwelling devices or catheters.
Further research may be warranted to understand the prevalence and clinical significance of Pasteurella spp. in ASB.