Oligella urethralis is rarely isolated from clinical specimens. This report describes a case of O. urethralis urosepsis in an elderly male with urinary tract obstruction, illustrating the invasive potential of the the organism as a pathogen in patients with urinary tract obstruction.</P>Case Report</h5> An 80-year-old male presented with a 3-month history of gradually progressive shortness of breath, orthopnea, and peripheral edema, with associated decreased urine output to near anuria at the time of his presentation. Additionally, he had fever, dysuria, and a foul smelling urine but denied any costovertebral angle pain. The patient was known to have bladder outflow obstruction, secondary to bladder neck contracture and phimosis. He had undergone a cystoscopy and transurethral resection of the prostate for benign prostatic hypertrophy 7 months before, following a previous experience with urinary obstruction. Other past medical history included chronic kidney disease secondary to the previous episode of bladder outflow obstruction, with a baseline creatinine level of 160 mmol/L, hypertension, atrial fibrillation, moderate aortic stenosis, osteoarthritis of the right hip and knee, and chronic bronchitis.</P>On examination, vital signs included a respiratory rate of 20 breaths/minute, oxygen saturation of 96% on 3 liters of oxygen, blood pressure of 112/74, heart rate
Clinical Microbiology Newsletter – Elsevier
Published: May 15, 2013
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