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[Characteristic clinical features of pyelonephritis caused by Enterococcus faecalis]
1Department of Urology, Hiratsuka Municipal Hospital, Japan.
Hinyokika Kiyo. Acta Urologica Japonica
|March 1, 1996
Summary
Refractory Enterococcus faecalis pyelonephritis, often seen in females, presents persistent symptoms and requires extended antimicrobial therapy. Careful treatment selection based on clinical presentation and bacterial load is recommended for effective management.
Area of Science:
- Urology
- Infectious Diseases
- Nephrology
Context:
- A 20-year clinical study (1975-1995) analyzed 13 cases of refractory Enterococcus faecalis pyelonephritis.
- Cases were identified within the Department of Urology at Hiratsuka Municipal Hospital.
- Refractory pyelonephritis predominantly affected female patients.
Purpose:
- To characterize the clinical features of refractory Enterococcus faecalis pyelonephritis.
- To investigate the challenges in treating E. faecalis-induced kidney infections.
- To provide recommendations for managing difficult-to-treat E. faecalis pyelonephritis.
Summary:
- Refractory pyelonephritis cases exhibited persistent symptoms like intermittent fever and malaise.
- Bacteriuria and polymicrobial infections were common, with bacterial counts ranging from 10^2-10^4/ml.
- E. faecalis demonstrated significant adherence and pathogenesis, necessitating prolonged antimicrobial treatment.
Impact:
- Highlights the complex nature of E. faecalis pyelonephritis.
- Emphasizes the need for tailored antimicrobial strategies.
- Informs clinical decision-making for challenging urinary tract infections.