title: [A Case of Bacteremia Which Followed a Urinary Tract Infection by Oligella urethralis].
abstract: An 82-year-old bedridden man with sequelae from a cerebral infarction was admitted to a welfare institution for the elderly. He developed a high fever and hematuria and was prescribed levofloxacin for the treatment of a suspected urinary tract infection. Although his condition improved, the symptoms subsequently recurred; therefore, levofloxacin was again administered. He remained febrile and was admitted to a hospital due to recalcitrant urinary tract infection. Immediately after admission, he developed ischuria and pyuria. Urine and blood cultures at admission indicated the presence of levofloxacin-resistant Oligella urethralis (O. urethralis). He recovered with ceftriaxone medication. To our knowledge, this is the first report of bacteremia associated with a urinary tract infection caused by O. urethralis in Japan.
authors.forename: Kyoko
authors.initials: K
authors.lastname: Murase
authors.forename: Kazushige
authors.initials: K
authors.lastname: Noda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Otaki
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Yasuda
authors.forename: Toshimi
authors.initials: T
authors.lastname: Oda
authors.forename: Takayuki
authors.initials: T
authors.lastname: Yokozawa
authors.forename: Ken
authors.initials: K
authors.lastname: Kikuchi
mesh_terms: D000369:Aged, 80 and over; D016470:Bacteremia / Q000209:etiology*; D016946:Gram-Negative Aerobic Rods and Cocci; D016905:Gram-Negative Bacterial Infections; D006801:Humans; D008297:Male; D014552:Urinary Tract Infections / Q000150:complications*