URINARY STONE RELATED URINARY TRACT INFECTION CAUSED BY RAOULTELLA ORNITHINOLYTICA IN A CHILD: A CASE REPORT
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Published on: December 4, 2020
11University of Medical Sciences, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Department of Pediatrics. Istanbul, Turkey; 2Celal Bayar University, Faculty of Medicine, Department of Pediatrics, Allergy and Immunology, Manisa, Turkey.
Insights
A rare urinary tract infection caused by Raoultella ornithinolytica was identified in a young child. Prompt treatment based on antibiotic sensitivity resolved the infection and associated kidney issues.
Area of Science:
- Microbiology
- Pediatric Urology
- Infectious Diseases
Background:
- Raoultella ornithinolytica is a bacterial species within the genus Raoultella.
- Urinary tract infections (UTIs) are common in children, but infections caused by Raoultella species are rare.
Observation:
- A two-year-old child presented with discomfort and fever.
- Urinary culture revealed the presence of Raoultella ornithinolytica.
- The child was diagnosed with Grade-2 hydronephrosis and a 7.5-mm urinary stone in the left ureter.
Findings:
- The urinary stone was expelled following pediatric urology consultation.
- The patient received treatment guided by an antibiotic sensitivity report.
- The child's condition improved and was monitored post-treatment.
Implications:
- This case highlights the importance of identifying rare bacterial pathogens in pediatric UTIs.
- Early diagnosis and targeted antibiotic therapy are crucial for managing complex UTIs with stones.
- Further research may be needed to understand the prevalence and clinical significance of Raoultella ornithinolytica in pediatric populations.
Abstract:
Raoultella ornithinolytica is one of the three species of Raoultella. The present case report describes a two-year-old child who had complaints of discomfort and fever, and Raoultella ornithinolytica in his urinary culture. Grade-2 hydronephrosis and a 7.5-mm urinary stone were detected in the patient's left ureter. The stone was expelled upon consultation with pediatric urology department. The patient was treated according to culture antibiotic sensitivity report and continued to be followed-up.
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