Characteristic clinical features of pyelonephritis caused by Enterococcus faecalis

Kiyohito Ishikawa, Isao Higa, Keizo Suzuki, Masaki Horiba

Research output: Contribution to journalArticlepeer-review

Abstract

A clinical study was performed in 13 cases of refractory Enterococcus faecalis pyelonephritis that were detected in the Department of Urology, Hiratsuka Municipal Hospital, from April 1975 to March 1995. The characteristic features were that pyelonephritis was commonly seen in females, and clinical symptoms (low-grade intermittent fever, low back pain, general malaise, etc.) were continuously refractory. Bacteriuria or polymicrobial infections were often found, and bacterial count was often as high as 10 2-10 4/ml. Nevertheless we considered that E. faecalis caused of refractory pyelonephritis must not have weak adherence and pathogenesis to the kidney, owing to the clinical symptoms and the basic subjects. Furthermore this infection was difficult to cure completely with antimicrobials having activity against E. faecalis, and long-term treatment was needed. Therefore, we recommend that treatment for refractory E. faecalis pyelonephritis be carefully selected according to clinical symptoms and the bacterial density of this strain.

Original languageEnglish
Pages (from-to)187-189
Number of pages3
JournalActa Urologica Japonica
Volume42
Issue number3
Publication statusPublished - 01-03-1996
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Urology

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