İDRAR YOLU ENFEKSİYONU ETKENİ OLARAK STREPTOCOCCUS PNEUMONIAE

Year 2023, , 65 - 67, 31.08.2023

Fatma Günbey , Ayşe Alıcı

https://doi.org/10.54962/ankemderg.1350008

Abstract

Streptococcus pneumoniae, esas olarak orta kulak iltihabına, toplum kökenli pnömoniye hatta bazen bakteriyemiye neden olan Gram pozitif bir koktur. Genellikle üriner sistem enfeksiyonu etkeni olarak kabul edilmez. Dizüri şikayetiyle başvuran 58 yaşındaki erkek hastanın tekrarlanan idrar kültürlerinden Streptococcus pneumoniae izole edilmiştir. Hastada başka enfeksiyon belirtisi bulunmamıştır. İdrar analizlerinde hematüri tespit edilmiştir. Hasta parenteral seftriakson 500 mg 2×1 ile tedavi edilmiştir. Uzun süredir şikayetlerinin olması nedeniyle ileri tetkikler yapıldığında mesane kanseri tanısı konmuştur. İdrarda Streptococcus pneumoniae’nın izole edilmesi idrar yolu enfeksiyonunun nadir bir etkeni olarak kabul edilmeli, üriner sistem anomalisine sebep olacak nedenler araştırılmalıdır.

Keywords

idrar yolu enfeksiyonu, pnömokoksüüri, Streptococcus pneumoniae

Streptococcus pneumoniae as a Causative Agent of Urinary Tract Infection

Abstract

Streptococcus pneumoniae is a Gram positive coccus that mainly causes otitis media, community-acquired pneumonia and sometimes even bacteremia. It is generally not considered to be the causative agent of urinary tract infection. Streptococcus pneumoniae was isolated from the repeated urine cultures of a 58-year-old male patient who applied with the complaint of dysuria. No other signs of infection were found in the patient. Hematuria was detected in urine analysis. The patient was treated with parenteral ceftriaxone 500 mg 2×1. When further investigations were conducted because of his complaints for a long time, he was diagnosed with bladder cancer. Isolation of Streptococcus pneumoniae in the urine should be considered as a rare cause of urinary tract infection, and the causes of urinary system anomalies should be investigated.

Keywords

urinary tract infection, pneumococcosuria, Streptococcus pneumoniae

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