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Pasteurella multocida infection of urinary tract in patient with ileal loop

T Baliah, E Neter

    Urology
    |March 1, 1977
    PubMed

    Insights

    This study documents Pasteurella multocida infection in a patient with a single, hydronephrotic kidney. The infection recurred but resolved spontaneously in the second instance, highlighting pathogen resilience.

    Area of Science:

    • Urology
    • Infectious Diseases
    • Nephrology

    Background:

    • A patient with a history of unilateral nephrectomy and severe renal failure requiring hemodialysis developed Pasteurella multocida infection.
    • The infection localized to an ileal loop and the pelvis of a remaining hydronephrotic kidney.

    Observation:

    • Repeated isolation of Pasteurella multocida confirmed the infection.
    • Two distinct episodes of infection were observed.
    • The first episode resolved following gentamicin treatment.
    • The second episode resolved without any chemotherapy.

    Findings:

    • Pasteurella multocida infection can occur in compromised renal systems.
    • The pathogen demonstrated resilience, with one episode resolving spontaneously.
    • The probable source of infection was identified as a household cat.

    Implications:

    • This case highlights the potential for opportunistic infections in patients with significant renal compromise.
    • Understanding the source and transmission of Pasteurella multocida is crucial for prevention in at-risk populations.
    • Further research is needed to ascertain the impact of such infections on severely impaired renal function.

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