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- Title
Facklamia hominis pyelonephritis in a pediatric patient: first case report and review of the literature.
- Authors
Pérez-Cavazos, Samantha; Cisneros-Saldaña, Daniela; Espinosa-Villaseñor, Fernando; Castillo-Bejarano, José Iván; Vaquera-Aparicio, Denisse Natalie; Sánchez-Alanís, Hugo; Mascareñas-De los Santos, Abiel
- Abstract
Background: Pyelonephritis is one of the most serious bacterial illnesses during childhood. Gram-negative organisms account for up to 90% of the cases. Gram-positive bacteria are uncommon causes of urinary tract infections, and only a few cases caused by Facklamia hominis have been reported in the literature. Case presentation: A five-year-old girl with tracheostomy and gastrostomy and past medical history of congenital lymphangioma presented with a two-week history of with intermittent fever, frequent urination, and vesical tenesmus. Diagnosis of pyelonephritis was made. Urine culture reported colonies with alpha-hemolysis in blood agar at 48-h of incubation and Facklamia hominis was identified by MALDI-TOF. The patient was successfully treated with gentamicin. Conclusions: This is the first reported case of pyelonephritis by Facklamia hominis in a child, and the second involving infection in a pediatric patient. Although this pathogen is uncommon, current treatment of F. hominis is a challenge for physicians. This case illustrates the requirement to standardize identification and treatment of care to avoid treatment failure and antimicrobial resistance.
- Subjects
PYELONEPHRITIS; URINARY tract infections; MALARIA; LITERATURE reviews; CHILD patients; TREATMENT failure
- Publication
Annals of Clinical Microbiology & Antimicrobials, 2022, Vol 21, Issue 1, p1
- ISSN
1476-0711
- Publication type
Article
- DOI
10.1186/s12941-022-00497-4