25/07/2024
1) 🦠 is causing one of the most common sites of infection of the urinary tract in the adult patient.
2) 🐛 is a type of bacteria that can cause a range of infections, including UTIs and pneumonia. These infections usually develop in hospital settings.
:
A 31 years old female have moderate pus cells in the urine sample having sign's of Urinary Tract Infection (UTI).
🦠 Historical examination:
Symptoms often include a burning sensation during urination, a more frequent urge to urinate, foul-smelling urine, blood in the urine.
When culture, there were two types of colonies isolated on Cystine Lactose Electrolyte Deficient (CLED) agar.
1)
2)
🦠 Causes:
1) Citrobacter koseri infection spreads through contaminated water or food. Hygiene also plays a crucial role in its transmission. It rarely is community-acquired and mainly occurs as hospital-acquired infections. Infections caused by C. koseri can lead to various symptoms, including fever, chills, diarrhea, and abdominal pain.
2) On the other hand, catheters and tools in medical procedures can transmit Klebsiella pneumoniae into the urinary tract.
🦠 Colony Morphology:
1) On CLED agar, Citrobacter koseri colonies are usually yellow due to lactose fermentation. CLED agar contains lactose and bromothymol blue, a pH indicator that turns yellow in the presence of acid produced by lactose fermentation.
2) Klebsiella colonies appear Large, yellow or yellowish-white. Highly mucoid and elevated.
🦠 Biochemical tests:
1) TSI: A(K)/A, Gas +
2) SIM: H2S(-), Indole(+), Motility(+)
3) Urease: (V)
4) Citrate Utilization: (+)
5) Oxidase: (-)
1) TSI: A/A, Gas (+)
2) SIM: H2S(-), Indole(-), Motility(-)
3) Urease: (+)
4) Citrate Utilization: (+)
5) Oxidase: (-)
🦠 Antimicrobials Treatment:
Ampicillin, Gentamicin, Cefotaxime or Ceftriaxone, Amox-clavulanate, Amp-sulbactam, Pipra-tazobactam, Cefazolin, Ciprofloxacin, Levofloxacin, Cotrimoxazole, Cefepime, Cefuroxime, Amikacin, Imipenem, Meropenem, Ertapenem, Tetracycline, Tobramycin, Cefiderocol, Ceftazidime-Avibactam, Cefoperazone, Chloramphenicol, Tigecycline, Colistin(MIC).