Staphylococcus saprophyticus as the Cause of Infected Urinary Calculus
Authors: JACKSON E. FOWLER
Journal: Annals of Internal Medicine (1985)

Brief Reports1 March 1985Staphylococcus saprophyticus as the Cause of Infected Urinary CalculusJACKSON E. FOWLER Jr., M.D.JACKSON E. FOWLER Jr., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-102-3-342 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptApproximately 10% of symptomatic urinary tract infections in young adult women are caused by Staphylococcus saprophyticus, a novobiocin-resistant, coagulase-negative Staphylococcus that synthesizes urease (1, 2). Recurrent infection due to S. saprophyticus occurs in approximately 10% of patients after appropriate antimicrobial therapy (1, 3). We report the case of a patient with a struvite urinary calculus infected by S. saprophyticus that apparently was the cause of recurrent staphylococcal bacteruria.A 31-year-old white woman had a recent onset of urinary frequency and dysuria. She was pregnant but had had no previous urologic disorders. A midstream urine specimen taken on 12 March 1982...References1. LATHAMRUNNINGSTAMM RKW. Urinary tract infections in young adult women caused by Staphylococcus saprophyticus. JAMA. 1983;250:3063-6. CrossrefMedlineGoogle Scholar2. HOVELIUSMARDH BP. On the diagnosis of coagulase-negative staphylococci with emphasis on Staphylococcus saprophyticus. Acta Pathol Microbiol Scand. 1977;85B:427-34. Google Scholar3. HOVELIUSMARDHBYGREN BPP. Urinary tract infections caused by Staphylococcus saprophyticus: recurrences and complications. J Urol. 1979;122:645-7. CrossrefMedlineGoogle Scholar4. NEMOYSTAMEY NT. Surgical, bacteriological and biochemical management of "infection stones." JAMA. 1971;215:1470-6. CrossrefMedlineGoogle Scholar5. GRIFFITHMUSHERITIN DDC. Urease: the primary cause of infection-induced urinary stones. Invest Urol. 1976;13:346-50. MedlineGoogle Scholar6. THOMPSONSTAMEY RT. Bacteriology of infected stones. Urology. 1973;2:627-33. CrossrefMedlineGoogle Scholar7. FOWLER J. Bacteriology of branched renal calculi and accompanying urinary tract infections. J Urol. 1984;131:213-5. CrossrefMedlineGoogle Scholar8. FOWLERPULASKI JE. Excretory urography, cystography, and cystoscopy in the evaluation of adult women with urinary tract infection: a prospective study. N Engl J Med. 1981;304:462-5. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JACKSON E. 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