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Renal and perinephric abscesses involving Lactobacillus jensenii and Prevotella bivia in a young woman following ureteral stent procedure.
J Community Hosp Intern Med Perspect. 2020 Mar 03; 10(2):162-165.JC

Abstract

is a gram-positive bacillus in the female genital tract believed to be a commensal organism that inhibits the growth of more virulent pathogens. Prevotella bivia is a gram-negative bacillus species also typically commensal in the female genital tract. Lactobacillus as the primary causative agent in perinephric abscesses and bacteremia has been documented, albeit very uncommon and opportunistic. Prevotella bivia is not classically associated with perinephric abscesses but has been implicated in rare cases of pelvic inflammatory disease and tubo-ovarian abscesses. In this report, we present a 26-year-old immunocompetent woman with a recent history of nephrolithiasis treated with lithotripsy, ureteral stent placement and removal, and antibiotics who was admitted for fever and severe right flank pain. Imaging showed a right-sided renal and perinephric abscesses colonized by Lactobacillus jensenii and Prevotella bivia. Blood cultures were also positive for Lactobacillus species. Per literature review, intravenous ceftriaxone and metronidazole were administered with successful resolution of abscesses and negative repeat blood cultures. To our knowledge, this is the first case of simultaneous renal system abscesses caused by Lactobacillus and Prevotella species. Nephrolithiasis and prior antibiotics likely contributed to the opportunistic pathogenesis in this otherwise immunocompetent patient.

Authors+Show Affiliations

Internal Medicine Residency Program, Memorial Healthcare System, Hollywood, FL, USA.Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.Internal Medicine Residency Program, Memorial Healthcare System, Hollywood, FL, USA.Internal Medicine Residency Program, Memorial Healthcare System, Hollywood, FL, USA.Internal Medicine Residency Program, Memorial Healthcare System, Hollywood, FL, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32850056

Citation

Mohan, Abhinav, et al. "Renal and Perinephric Abscesses Involving Lactobacillus Jensenii and Prevotella Bivia in a Young Woman Following Ureteral Stent Procedure." Journal of Community Hospital Internal Medicine Perspectives, vol. 10, no. 2, 2020, pp. 162-165.
Mohan A, Rubin J, Chauhan P, et al. Renal and perinephric abscesses involving Lactobacillus jensenii and Prevotella bivia in a young woman following ureteral stent procedure. J Community Hosp Intern Med Perspect. 2020;10(2):162-165.
Mohan, A., Rubin, J., Chauhan, P., Ramirez, J. L., & Giese, G. (2020). Renal and perinephric abscesses involving Lactobacillus jensenii and Prevotella bivia in a young woman following ureteral stent procedure. Journal of Community Hospital Internal Medicine Perspectives, 10(2), 162-165. https://doi.org/10.1080/20009666.2020.1742494
Mohan A, et al. Renal and Perinephric Abscesses Involving Lactobacillus Jensenii and Prevotella Bivia in a Young Woman Following Ureteral Stent Procedure. J Community Hosp Intern Med Perspect. 2020 Mar 3;10(2):162-165. PubMed PMID: 32850056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Renal and perinephric abscesses involving Lactobacillus jensenii and Prevotella bivia in a young woman following ureteral stent procedure. AU - Mohan,Abhinav, AU - Rubin,Jacob, AU - Chauhan,Priyank, AU - Ramirez,Juan Lemos, AU - Giese,German, Y1 - 2020/03/03/ PY - 2020/8/28/entrez PY - 2020/8/28/pubmed PY - 2020/8/28/medline KW - Gardnerella KW - Lactobacillus KW - Prevotella KW - nephrolithiasis KW - perinephric abscess KW - renal abscess KW - ureteral stent SP - 162 EP - 165 JF - Journal of community hospital internal medicine perspectives JO - J Community Hosp Intern Med Perspect VL - 10 IS - 2 N2 - is a gram-positive bacillus in the female genital tract believed to be a commensal organism that inhibits the growth of more virulent pathogens. Prevotella bivia is a gram-negative bacillus species also typically commensal in the female genital tract. Lactobacillus as the primary causative agent in perinephric abscesses and bacteremia has been documented, albeit very uncommon and opportunistic. Prevotella bivia is not classically associated with perinephric abscesses but has been implicated in rare cases of pelvic inflammatory disease and tubo-ovarian abscesses. In this report, we present a 26-year-old immunocompetent woman with a recent history of nephrolithiasis treated with lithotripsy, ureteral stent placement and removal, and antibiotics who was admitted for fever and severe right flank pain. Imaging showed a right-sided renal and perinephric abscesses colonized by Lactobacillus jensenii and Prevotella bivia. Blood cultures were also positive for Lactobacillus species. Per literature review, intravenous ceftriaxone and metronidazole were administered with successful resolution of abscesses and negative repeat blood cultures. To our knowledge, this is the first case of simultaneous renal system abscesses caused by Lactobacillus and Prevotella species. Nephrolithiasis and prior antibiotics likely contributed to the opportunistic pathogenesis in this otherwise immunocompetent patient. SN - 2000-9666 UR - https://www.unboundmedicine.com/medline/citation/32850056/Renal_and_perinephric_abscesses_involving_Lactobacillus_jensenii_and_Prevotella_bivia_in_a_young_woman_following_ureteral_stent_procedure. L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/32850056/ DB - PRIME DP - Unbound Medicine ER -
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