URINARY STONE RELATED URINARY TRACT INFECTION CAUSED BY RAOULTELLA ORNITHINOLYTICA IN A CHILD: A CASE REPORT

Mehmet Karacı1, Adem Yaşar1

  • 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.

Acta Clinica Croatica
|July 21, 2021
PubMed

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.

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