Epidemiology and antibiotic susceptibility of aerococci in urinary cultures

Senneby, Erik; Petersson, Alexandra; Rasmussen, Magnus

doi:10.1016/j.diagmicrobio.2014.11.009

Cited by 48 publications

(48 citation statements)

References 22 publications

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“…In paediatric patients only one case of urinary-tract infection, a pyelonephritis not associated with malodorous urine [12], and three cases of colonization characterized by foul-smelling urine, have been reported in the last few years [13–15]. Interestingly, all the paediatric patients, including our own patient, were boys, in contrast to the elderly population where there seems to be equal gender distribution between men and women with aerococcal bacteriuria [16]. The gender predilection in children is interesting and needs further investigation.…”

Section: Discussionmentioning

confidence: 94%

Aerococcus urinae, a cause of cystitis with malodorous urine in a child: clinical and microbiological challenges

et al. 2017

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Introduction. An infection of the lower urinary tract associated with an extremely unpleasant odour due to Aerococcus urinae in an otherwise healthy 5-year-old boy is described herein.Case presentation. Interestingly, imaging examination revealed the presence of a bladder diverticulum. Routine microbiological examination based on Gram staining, colony morphology and catalase reactivity suggested that the responsible pathogen could belong either to staphylococci, α-haemolytic streptococci or enterococci, which are more common urine isolates. Of note is that the VITEK 2 automated system could not identify the micro-organism. Susceptibility testing showed full sensitivity to β-lactam antibiotics and resistance to trimethoprim/sulfamethoxazole. The isolate was subjected to 16S rRNA gene sequence analysis because of its unusual characteristics. It was identified as A. urinae and the sequence was deposited in GenBank under the accession number KU207150.Conclusion. A. urinae should be considered as a causative agent of urinary-tract infection associated with malodorous urine.

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Section: Discussionmentioning

confidence: 94%

Aerococcus urinae, a cause of cystitis with malodorous urine in a child: clinical and microbiological challenges

et al. 2017

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“…The typical patient is elderly—median age of 79 years, higher than the median age of UTIs associated with E. coli (69 years) or Enterococcus (66 years) 2 . Both sexes are equally affected, and chronic diseases and indwelling catheters are risk factors 2 .…”

Section: Discussionmentioning

confidence: 99%

Aerococcus urinae: An Emerging Cause of Urinary Tract Infection in Older Adults with Multimorbidity and Urologic Cancer

Higgins

Garg

2017

Urology Case Reports

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Aerococcus urinae is a rare organism isolated from urine cultures. We present a case of an 80 year-old male with bladder cancer and multimorbidity who developed A. urinae infection. A. urinae may cause simple and complicated UTIs, bacteremia, and endocarditis in older adults with multimorbidity, chronic urinary retention, or indwelling catheters. A. urinae treatment should employ penicillin, amoxicillin, and nitrofurantoin. Due to increasing antibiotic resistance, urine culture should include antibiotic susceptibility testing. Prompt and culture-specific treatment is critical to avoid clinical progression of the infection.

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“…However, A. urinae has been found to be intrinsically resistant to sulfonamides and reports of resistance to trimethoprim. Also, it has been observed that A. urinae has low MICs for nitrofurantoin [1], [17], [15]. Clinical breakpoints for aerococcus have not been established.…”

Section: Discussionmentioning

confidence: 99%

A rare case of perineal abscess caused by aerococcus urinae

Niknam

Mankame

et al. 2017

IDCases

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Aerococcus urinae, a previously misidentified pathogen, has become increasingly recognized to cause severe and even fatal infections. Aerococcus-related perineal abscess infections have not previously been reported in the literature. Most reported cases of infections caused by Aerococcus are urinary tract infections, bacteremia, and even rare cases of endocarditis. We report an unusual case of a perineal abscess caused by Aerococcus urinae.

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Epidemiology and antibiotic susceptibility of aerococci in urinary cultures

Cited by 48 publications

References 22 publications

Aerococcus urinae, a cause of cystitis with malodorous urine in a child: clinical and microbiological challenges

Aerococcus urinae, a cause of cystitis with malodorous urine in a child: clinical and microbiological challenges

Aerococcus urinae: An Emerging Cause of Urinary Tract Infection in Older Adults with Multimorbidity and Urologic Cancer

A rare case of perineal abscess caused by aerococcus urinae

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