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Korean J Med > Volume 87(2); 2014 > Article
The Korean Journal of Medicine 2014;87(2): 234-239.
Aerococcus viridans에 의한 요로성패혈증 1예
정진성, 장세헌, 유승현, 구남호, 박용원, 천미주, 채윤태
한전의료재단 한전병원 내과
A Case of Urosepsis Caused by Aerococcus viridans
Jin Sung Jung, Se Heon Chang, Seung Hyen Yoo, Nam Ho Koo, Yong Won Park, Mi Ju Cheon, Yun Tae Chae
Department of Internal Medicine, KEPCO Medical Center, Seoul, Korea
Corresponding Author: Yun Tae Chae ,Tel: +82-2-901-3009, Fax: +82-2-901-3014, Email: cyt2063@gmail.com
Received: July 26, 2013;   Revised: August 6, 2013;   Accepted: October 15, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Aerococcus viridans is a rare pathogen in humans, with only six cases of A. viridans urinary tract infections reported worldwide. Nosocomial urinary tract infections with bacteremia caused by A. viridians are even rarer, with no prior reports of urosepsis caused by A. viridans occurring in the Republic of Korea. Here we report a case of urosepsis caused by A. viridans in a 79 year-old female nursing home resident. The patient was admitted to the hospital presenting a fever of 39℃, chills, and oliguria for two days prior to admission. Urine culture yielded a robust growth of 105 CFU/mL of A. viridians, with blood culture positive for the same organism. Following diagnosis, the patient was treated with ciprofloxacin intravenously for 2 weeks, resulting in clearance of the infection and a full recovery from urosepsis. Although A. viridans is rarely associated with human infections, this case shows that, under the right conditions, it can be responsible for severe infections like urosepsis.
Keywords: Aerococcus viridians; Urinary tract infections; Bacteremia
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