title: Bacteremia secondary to Alloscardovia omnicolens urinary tract infection.
abstract: A 70-year-old woman was admitted to our hospital with malaise, bilateral leg edema, and oliguria. She had a history of advanced uterine cancer. Bilateral double-J catheters were inserted because growth of intra-abdominal metastases led to bilateral ureteral stricture and hydronephrosis. Two days later, she suddenly developed high fever. Thin gram-positive bacilli of moderate length were detected in the anaerobic blood culture bottles. We performed 16S ribosomal RNA analysis of the isolate and it showed 100% match with Alloscardovia omnicolens DSM 21503(T). She was successfully treated with cefmetazole in addition to percutaneous nephrostomy.
authors.affiliation: Center for Infectious Diseases, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan. Electronic address: hikoichi@naramed-u.ac.jp.
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Ogawa
authors.affiliation: Central Clinical Laboratory, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Koizumi
authors.affiliation: Center for Infectious Diseases, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Kasahara
authors.affiliation: Central Clinical Laboratory, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan.
authors.forename: Sang-Tae
authors.initials: ST
authors.lastname: Lee
authors.affiliation: Department of Gynecology, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Yamada
authors.affiliation: Department of Microbiology and Infectious Diseases, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan.
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Nakano
authors.affiliation: Department of Microbiology and Infectious Diseases, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan.
authors.forename: Hisakazu
authors.initials: H
authors.lastname: Yano
authors.affiliation: Center for Infectious Diseases, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Mikasa
mesh_terms: D039903:Actinobacteria / Q000187:drug effects; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000188:drug therapy / Q000382:microbiology*; D015373:Bacterial Typing Techniques; D015311:Cefmetazole / Q000627:therapeutic use; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008826:Microbial Sensitivity Tests; D014552:Urinary Tract Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D015311:Cefmetazole
keywords: 16S rRNA; Alloscardovia omnicolens; Bacteremia