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Case Reports
. 2017 Jan 5:11:22-24.
doi: 10.1016/j.eucr.2016.11.013. eCollection 2017 Feb.

Urinary Tract Infection Caused by Citrobacter koseri in a Patient With Spina Bifida, an Ileal Conduit and Renal Caluli Progressing to Peri-nephric Abscess and Empyema

Zachary E Stewart  1 , Mohammed Shaker  1 , J David Baxter  1
Affiliations
Case Reports

Urinary Tract Infection Caused by Citrobacter koseri in a Patient With Spina Bifida, an Ileal Conduit and Renal Caluli Progressing to Peri-nephric Abscess and Empyema

Zachary E Stewart et al. Urol Case Rep. .

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 a Citrobacter koseri urinary tract infection complicated by a perinephric abscess with pleural extension. To our knowledge, no case of an ascending C. koseri UTI progressing to peri-nephric abscess and empyema by direct extension exists in the literature.

Keywords: Citrobacter koseri; Empyema; Ileal conduit; Peri-nephric abscess; Urinary tract infection.

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Figures

Figure 1
Figure 1
Axial CT demonstrating a moderate size, right-sided, loculated pleural effusion.
Figure 2
Figure 2
Axial CT demonstrating a large right-sided perinephric abscess.
Figure 3
Figure 3
Percutaneous CT guided drainage of the perinephric abscess.
See this image and copyright information in PMC

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