Abstract

Background: The case we are presenting is about one of the rare pathogens, Serratia Fonticola (SF) that may cause urinary tract infection. 
 Case Presentation: A 58 years-old female presented with dysuria, suprapubic pain, frequency of micturition, and change in urine color. The patient was afebrile on physical examination; however, the urine culture was positive to SF as the sole isolate. The patient received levofloxacin tables (750 mg) once a day for 5 days along with supportive instructions to improve hygiene. On follow-up, she was free of symptoms and the repeated urine culture was negative.
 Conclusion: This case can be considered globally the third that diagnosed in the urine culture of the asymptomatic patient.
 
 References
 
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 Gavini F, Ferragut C, Izard D, Trinel PA, Leclerc H, Lefebvre B, Mossel DA. Serratia fonticola, a new species from water. International Journal of Systematic and Evolutionary Microbiology. 1979;29(2):92-101. https://doi.org/10.1099/00207713-29-2-92
 Aljorayid A, Viau R, Castellino L, Jump RL. Serratia fonticola, pathogen or bystander? A case series and review of the literature. IDCases. 2016 May 24; 5:6-8. https://doi.org/10.1016/j.idcr.2016.05.003
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 Bollet C, Gainnier M, Sainty JM, Orhesser P, De Micco P. Serratia Fonticola isolated from a leg abscess. J Clin Microbiol 1991; 29:834–5. https://doi.org/10.1128/JCM.29.4.834-835.1991
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 Stock I, Burak S, Sherwood KJ, Gruger T, Wiedemann B. Natural antimicrobial susceptibilities of strains of 'unusual' Serratia species: S. ficaria, S. fonticola, S. odorifera, S. plymuthica and S. rubidaea. J Antimicrob Chemother. 2003;51(4):865-85. https://doi.org/10.1093/jac/dkg156.
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 Conclusion: This case can be considered globally the third that diagnosed in the urine culture of the asymptomatic patient.

Highlights

  • The case we are presenting is about one of the rare pathogens, Serratia Fonticola (SF) that may cause urinary tract infection.Case Presentation: A 58 years-old female presented with dysuria, suprapubic pain, frequency of micturition, and change in urine color

  • This case can be considered globally the third that diagnosed in the urine culture of the asymptomatic patient

  • Females have a shorter urethra than males, which makes bacterial infection more likely [1]

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Summary

Background

Among the most prevalent bacterial infections are urinary tract infection (UTIs). The diagnosis of UTI is made by its symptoms and a positive urinalysis and culture [2]. Urine culture was positive for SF as the sole isolate. Ultrasonic examination of the urinary tract revealed mild diffuse bladder wall thickness measuring 4 mm, suggesting mild cystitis. We proffer a 58-year-old female who presented with dysuria, suprapubic pain, frequency of micturition, change in urine color, and constipation for a week. Of note, she is a polymyalgia rheumatic (PMR) patient on daily prednisolone 30mg and ondemand ibuprofen. She is a housewife, non-smoker, and a mother of 5 grown children.

Discussion
Conclusion

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