Emphysematous Pyelonephritis Due to Prevotella bivia

Jain, Deepali; Elhwairis, Huda; Campe, Julie

doi:10.1097/ipc.0b013e3182639f51

Cited by 1 publication

(2 citation statements)

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“…Therefore, clearance of Lactobacillus with ceftriaxone may have directly led to the P. bivia abscesses observed. The only other case in which there has been documented involvement of P. bivia in the kidney is a 54-year-old patient with P. bivia emphysematous pyelonephritis who required nephrostomy and four weeks of antibiotic therapy with metronidazole and cephalosporin, before recovering with no complications [13].…”

Section: Discussionmentioning

confidence: 99%

“…It is a gram-negative non-pigmented anaerobe that is known to be implicated uncommonly in bacterial vaginosis, endometritis, and pelvic inflammatory disease. Rarely, cases of P. bivia paronychia, chest wall abscess, emphysematous pyelonephritis, necrotizing fasciitis, osteomyelitis, and sepsis have been published [ 10 – 13 ]. Lactobacillus is a known inhibitor of Prevotella in the GU system, while the pathogenicity of Prevotella increases in the presence of aerobic bacteria [ 10 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Renal and perinephric abscesses involving Lactobacillus jensenii and Prevotella bivia in a young woman following ureteral stent procedure

Mohan

Rubin

Chauhan

et al. 2020

Journal of Community Hospital Internal Medicine Perspectives

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Lactobacillus jensenii is a gram-positive bacillus in the female genital tract believed to be a commensal organism that inhibits the growth of more virulent pathogens. Prevotella bivia is a gram-negative bacillus species also typically commensal in the female genital tract. Lactobacillus as the primary causative agent in perinephric abscesses and bacteremia has been documented, albeit very uncommon and opportunistic. Prevotella bivia is not classically associated with perinephric abscesses but has been implicated in rare cases of pelvic inflammatory disease and tubo-ovarian abscesses. In this report, we present a 26-year-old immunocompetent woman with a recent history of nephrolithiasis treated with lithotripsy, ureteral stent placement and removal, and antibiotics who was admitted for fever and severe right flank pain. Imaging showed a right-sided renal and perinephric abscesses colonized by Lactobacillus jensenii and Prevotella bivia. Blood cultures were also positive for Lactobacillus species. Per literature review, intravenous ceftriaxone and metronidazole were administered with successful resolution of abscesses and negative repeat blood cultures. To our knowledge, this is the first case of simultaneous renal system abscesses caused by Lactobacillus and Prevotella species. Nephrolithiasis and prior antibiotics likely contributed to the opportunistic pathogenesis in this otherwise immunocompetent patient.

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Section: Discussionmentioning

confidence: 99%