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Asymptomatic bilateral obstructing ureteric calculi resulting in Lactobacillaemia and endocarditis requiring
Thomas Minto1, Nicholas Bullock1,2, Indu Deglurkar3
1Department of Urology, Cardiff and Vale University Health Board, University Hospital of Wales, Cardiff, UK.
Abstract:
Ureteric calculi are a common cause of emergency presentation to hospitals in the United Kingdom and worldwide. A significant and life threatening complication of those stones that obstruct the ureter is pyonephrosis, bacteraemia and resulting sepsis. Whilst the majority of such cases present with the typical symptoms of loin pain and fever, here we describe the case of a 57 year old patient with asymptomatic bilateral obstructing ureteric calculi that led to bacteraemia from a rare bacterial pathogen, Lactobacillus jensenii, and subsequent severe bacterial endocarditis requiring emergency aortic valve replacement.
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