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Case Reports
. 2019 Apr;21(2):e13032.
doi: 10.1111/tid.13032. Epub 2018 Dec 10.

Ureaplasma urealyticum pyelonephritis presenting with progressive dysuria, renal failure, and neurologic symptoms in an immunocompromised patient

Drew J Schwartz  1 , Alexis Elward  1 , Gregory A Storch  1 , David A Rosen  1
Affiliations
Case Reports

Ureaplasma urealyticum pyelonephritis presenting with progressive dysuria, renal failure, and neurologic symptoms in an immunocompromised patient

Drew J Schwartz et al. Transpl Infect Dis. 2019 Apr.

Abstract

Ureaplasma urealyticum is a bacterial species correlated with urethritis in healthy individuals and invasive infections in immunocompromised patients. We describe a 20-year-old female with a history of remote heart transplant on everolimus, mycophenolate, and rituximab presenting with progressive urinary tract symptoms, renal failure, and neurologic symptoms. An extensive workup ultimately identified U urealyticum infection, and the patient successfully recovered after a course of azithromycin and doxycycline.

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Figures

FIGURE 1
FIGURE 1
Kidney biopsy demonstrating acute pyelonephritis, focal glomerulosclerosis, interstitial fibrosis as well as a normal renal arteriole
See this image and copyright information in PMC

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