title: Urinary Tract Infection Caused byCitrobacter koseriin a Patient With Spina Bifida, an Ileal Conduit and Renal Caluli Progressing to Peri-nephric Abscess and Empyema.
abstract: Urological problems are common in spina bifida and are often treated with urinary diversions. Spina bifida and ileal conduits put patients at increased risk for ascending urinary tract infections. Here we present a novel case of aCitrobacter koseriurinary tract infection complicated by a perinephric abscess with pleural extension. To our knowledge, no case of an ascendingC. koseriUTI progressing to peri-nephric abscess and empyema by direct extension exists in the literature.
authors.affiliation: Memorial Health University Medical Center, Department of Internal Medicine, 4700 Waters Avenue, Savannah, GA 31404, USA.
authors.forename: Zachary E
authors.initials: ZE
authors.lastname: Stewart
authors.affiliation: Memorial Health University Medical Center, Department of Internal Medicine, 4700 Waters Avenue, Savannah, GA 31404, USA.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Shaker
authors.affiliation: Memorial Health University Medical Center, Department of Internal Medicine, 4700 Waters Avenue, Savannah, GA 31404, USA.
authors.forename: J David
authors.initials: JD
authors.lastname: Baxter
keywords: Citrobacter koseri; Empyema; Ileal conduit; Peri-nephric abscess; Urinary tract infection