title: Renal Abscess Due to Community-acquired Extended-spectrum β-Lactamase-producing Escherichia coli in a 15-Year-old Girl.
abstract: Infections caused by community-acquired (CA) extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae are an increasing public health concern. We report a 15-year-old girl with a history of recurrent urinary tract infections who developed a right renal abscess. Percutaneous abscess drainage and subsequent microbiological culture revealed CA-ESBL Escherichia coli. To our knowledge, this is the first reported pediatric case of CA-ESBL E coli renal abscess complicating urinary tract infection. Establishing a definitive diagnosis of ESBL E coli renal abscess may necessitate obtaining a microbiological culture via surgical specimen, especially in children with apparent risk factors for the selection of ESBL-producing organisms.
authors.affiliation: Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC.
authors.forename: Daniela
authors.initials: D
authors.lastname: Hochreiter
authors.affiliation: Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC.
authors.forename: Jen-Jar
authors.initials: JJ
authors.lastname: Lin
authors.affiliation: Department of Radiology, Wake Forest School of Medicine, Winston-Salem, NC.
authors.forename: Jasmeet
authors.initials: J
authors.lastname: Singh
authors.affiliation: Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC. Electronic address: ashetty@wakehealth.edu.
authors.forename: Avinash K
authors.initials: AK
authors.lastname: Shetty
mesh_terms: D018784:Abdominal Abscess / Q000382:microbiology*; D000293:Adolescent; D017714:Community-Acquired Infections / Q000150:complications; D004926:Escherichia coli / Q000201:enzymology; D004927:Escherichia coli Infections / Q000150:complications*; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000382:microbiology*; D014552:Urinary Tract Infections / Q000150:complications*; D001618:beta-Lactamases / Q000096:biosynthesis
chemical_list: D001618:beta-Lactamases