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마제신 환자에서 발생한 Enterococcus hirae 신우신염 1예

A Case of Acute Pyelonephritis Caused by Enterococcus Hirae in a Patient with a Horseshoe Kidney

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초록

Enterococcus hirae mainly causes infections in animals. It has been rarely encountered in humans and, in most such cases, it isconsidered to be a contaminant or resident flora. Since the first case of septicemia by E. hirae was reported in 1998, only two casesof acute pyelonephritis (APN) have been reported in Korea. We describe herein a case of APN caused by E. hirae in an 83-year-oldman with a horseshoe kidney. Although E. hirae was isolated only from urine and not from the blood, we were able to diagnose it asthe causative organism based on the patient’s clinical findings, imaging study results, and risk factors including old age, benignprostatic hypertrophy, and a horseshoe kidney.

Abstract

Enterococcus hirae mainly causes infections in animals. It has been rarely encountered in humans and, in most such cases, it isconsidered to be a contaminant or resident flora. Since the first case of septicemia by E. hirae was reported in 1998, only two casesof acute pyelonephritis (APN) have been reported in Korea. We describe herein a case of APN caused by E. hirae in an 83-year-oldman with a horseshoe kidney. Although E. hirae was isolated only from urine and not from the blood, we were able to diagnose it asthe causative organism based on the patient’s clinical findings, imaging study results, and risk factors including old age, benignprostatic hypertrophy, and a horseshoe kidney.

참고문헌 (10)

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  3. Farrow JA, "Enterococcus hirae, a new species that includes amino acid assay strain NCDO 1258 and strains causing growth depression in young chickens", Int J Syst Bacteriol, 35, pp.73~75 (1985)
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  6. Gilad J, "Enterococcus hirae septicemia in a patient with end-stage renal disease undergoing hemodialysis", Eur J Clin Microbiol Infect Dis, 17, pp.576~577 (1998)
  7. Chan TS, "Enterococcus hirae-related acute pyelonephritis and cholangitis with bacteremia: an unusual infection in humans", Kaohsiung J Med Sci, 28, pp.111~114 (2012)
  8. Weizer AZ, "Determining the incidence of horseshoe kidney from radiographic data at a single institution", J Urol, 170, pp.1722~1726 (2003)
  9. Muttarak M, "Congenital renal anomalies detected in adulthood", Biomed Imaging Interv J, 8, pp.e7~ (2012)
  10. Devriese LA, "Differentiation and identification of Enterococcus durans, E. hirae and E. villorum", J Appl Microbiol, 92, pp.821~827 (2002)

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