Urinary tract infection by Streptococcus thoraltensis

Salazar Briseño, Ingrid Eunice; Ley Soler, Mario Alberto; Sosa Hernández, Oscar

doi:10.1016/j.medcle.2023.02.004

array:24 ["pii" => "S2387020623002140" "issn" => "23870206" "doi" => "10.1016/j.medcle.2023.02.004" "estado" => "S300" "fechaPublicacion" => "2023-06-23" "aid" => "6223" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2023" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2023;160:e19-e20" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775323001483" "issn" => "00257753" "doi" => "10.1016/j.medcli.2023.02.018" "estado" => "S300" "fechaPublicacion" => "2023-06-23" "aid" => "6223" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2023;160:e19-e20" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "Carta al Editor" "titulo" => "Infección urinaria por Streptococcus thoraltensis" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e19" "paginaFinal" => "e20" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Urinary tract infection by Streptococcus thoraltensis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ingrid Eunice Salazar Briseño, Mario Alberto Ley Soler, Oscar Sosa Hernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ingrid Eunice" "apellidos" => "Salazar Briseño" ] 1 => array:2 [ "nombre" => "Mario Alberto" "apellidos" => "Ley Soler" ] 2 => array:2 [ "nombre" => "Oscar" "apellidos" => "Sosa Hernández" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020623002140" "doi" => "10.1016/j.medcle.2023.02.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623002140?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775323001483?idApp=UINPBA00004N" "url" => "/00257753/0000016000000012/v1_202306120952/S0025775323001483/v1_202306120952/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S238702062300205X" "issn" => "23870206" "doi" => "10.1016/j.medcle.2023.01.017" "estado" => "S300" "fechaPublicacion" => "2023-06-23" "aid" => "6174" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2023;160:566" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Image in medicine" "titulo" => "Contact dermatitis by face mask" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "566" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dermatitis de contacto por mascarilla" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 519 "Ancho" => 850 "Tamanyo" => 64750 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Mansilla-Polo, Miguel Ángel Navarro-Mira, Rafael Botella-Estrada" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Miguel" "apellidos" => "Mansilla-Polo" ] 1 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Navarro-Mira" ] 2 => array:2 [ "nombre" => "Rafael" "apellidos" => "Botella-Estrada" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775323000210" "doi" => "10.1016/j.medcli.2023.01.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775323000210?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702062300205X?idApp=UINPBA00004N" "url" => "/23870206/0000016000000012/v1_202306191131/S238702062300205X/v1_202306191131/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2387020623002139" "issn" => "23870206" "doi" => "10.1016/j.medcle.2023.06.003" "estado" => "S300" "fechaPublicacion" => "2023-06-23" "aid" => "6214" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2023;160:e17-e18" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Uremic hemolytic syndrome in puerperal with non-severe pre-eclampsia" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e17" "paginaFinal" => "e18" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome hemolítico urémico en puérpera con preeclampsia sin criterios de gravedad" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marta Avella Marcos, María Dolores Gómez-Roig, Eduardo Gonzalez-Bosquet" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Marta" "apellidos" => "Avella Marcos" ] 1 => array:2 [ "nombre" => "María Dolores" "apellidos" => "Gómez-Roig" ] 2 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Gonzalez-Bosquet" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775323001161" "doi" => "10.1016/j.medcli.2023.01.026" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775323001161?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623002139?idApp=UINPBA00004N" "url" => "/23870206/0000016000000012/v1_202306191131/S2387020623002139/v1_202306191131/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Urinary tract infection by Streptococcus thoraltensis" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e19" "paginaFinal" => "e20" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ingrid Eunice Salazar Briseño, Mario Alberto Ley Soler, Oscar Sosa Hernández" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Ingrid Eunice" "apellidos" => "Salazar Briseño" "email" => array:1 [ 0 => "inguis_nini@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Mario Alberto" "apellidos" => "Ley Soler" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Oscar" "apellidos" => "Sosa Hernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Residencia Medicina Interna, Hospital General de Zona N.° 50, Instituto Mexicano del Seguro Social, Mexico" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Epidemiología Hospitalaria, Hospital General de Zona N.° 50, Instituto Mexicano del Seguro Social, San Luis Potosí, San Luis Potosí, Mexico" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infección urinaria por Streptococcus thoraltensis" ] ] "textoCompleto" => "The Streptococcus genus is a heterogeneous group of microorganisms, described by Bergeys Manual of Systematic Bacteriology as ovoid or spherical cell-forming, gram-positive, catalase-negative, facultative anaerobic, chain- or pair-forming bacteria. Able to ferment glucose producing lactic acid.<a class="elsevierStyleCrossRef" href="#bib0005">1</a>Streptococcus thoraltensis (S. thoraltensis) is an unusual species of Streptococcus, rarely isolated in humans, although it has been identified in samples from patients with pneumonia, chorioamnionitis and sepsis. A series of cases of urinary tract infection secondary to S. thoraltensis is reported.The first case was a 75-year-old female patient with a history of colon polyps with dysplasia and angiodysplasia, type 2 diabetes mellitus and systemic arterial hypertension, both under treatment; NYHA III congestive heart failure and anticoagulated atrial fibrillation.The patient was admitted for hypovolemic shock and AKIN I acute kidney injury secondary to bleeding from the upper gastrointestinal tract, requiring blood transfusion and transurethral catheterisation (TUC); 10 days after its placement, she had a febrile episode and urinary symptoms, with leukocytosis at the expense of neutrophilia, general urine examination with scant bacteria, WBCs 0-5 per field, and development of S. thoraltensis in urine culture. She was treated with levofloxacin and imipenem during her hospitalisation and the urinary catheter was removed 18 days after its placement. She was discharged due to improvement.The second case, also a 70-year-old woman with systemic arterial hypertension and chronic stable angina, with a history of double J catheter placement for left renal lithiasis. She was admitted for generalised abdominal pain VAS 10/10, radiating to the back and chest, accompanied by vomiting of biliary contents and dyspnoea. Progressed to haemodynamic instability, requiring vasopressors and urinary catheterisation; hydronephrosis secondary to left renal lithiasis was documented. Eight days after catheterisation, she began to experience urinary symptoms, with urine culture showing S. thoraltensis; antibiotic treatment was started with meropenem and metronidazole. The progression was favourable; the urinary catheter was removed 25 days after its placement, at the patient’s discharge.The third case was a 54-year-old female patient with systemic arterial hypertension and type 2 diabetes mellitus. Admitted for acute coronary syndrome with anteroseptal ST elevation. During her stay in hospital she had haemodynamic instability, cardiogenic shock and AKIN III acute kidney injury, with TUC. Twelve days after TUC she developed fever and urinary tract infection was identified. S. thoraltensis were detected in urine culture, so management with meropenem and metronidazole was started. TUC was removed 25 days after discharge.S. thoraltensis is a gram-positive coccus, which was first isolated and described in 1997 by Devriese from the intestinal tract of pigs.<a class="elsevierStyleCrossRefs" href="#bib0005">1–3</a> The pathogenic role in humans is uncertain.<a class="elsevierStyleCrossRef" href="#bib0005">1</a>Few cases of S. thoraltensis in humans have been reported so far. The first case was reported in 2015, in a patient diagnosed with chorioamnionitis and a history of occupational exposure to pigs. In 2019, a case of pneumonia and bacteraemia caused by S. thoraltensis was reported,<a class="elsevierStyleCrossRef" href="#bib0020">4</a> another case of a patient with sepsis studied for fever of unknown origin<a class="elsevierStyleCrossRef" href="#bib0025">5</a> and a case of prosthetic aortic valve infective endocarditis described in 2020.<a class="elsevierStyleCrossRef" href="#bib0010">2</a>A case of S. thoraltensis in the urine culture of a male patient under study protocol for fever was reported at the Argentine Society of Infectious Diseases Conference in 2019. In our reported series, there is no history of exposure to farm animals, but there is a history of TUC, so it is important to avoid unnecessary use of urinary catheters, observe correct placement technique and maximise urinary catheter care to reduce the risk of urinary tract infection.The proper practice of taking timely cultures facilitates and guides the therapeutic decision, so it is essential to continue with this type of approach. Multidisciplinary work will always have better results, and effective communication between the treating physician and epidemiology is essential to identify rare pathogens. It is important to report these cases with unusual bacteria development in order to investigate whether these are isolated cases or an emerging pathogen.FundingNo funding of any kind was received for this paper.Conflict of interestWe declare that there is no actual, potential or potentially perceived conflict of interest (financial, professional or personal) that could result in bias in the publication of this paper." "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Género Streptococcus: una revisión práctica para el laboratorio de microbiología" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Montes" 1 => "J.M. García-Arenzana" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "2007" "volumen" => "24 Supl" "paginaInicial" => "14" "paginaFinal" => "20" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A case of Streptococcus thoraltensis bacteremia and prosthetic valve endocarditis in a 68-year-old Vietnamese man" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P. Hai" 1 => "P. Son" 2 => "N. Thi Thu Huong" 3 => "N. Thanh Binh" 4 => "L. Thi Viet Hoa" 5 => "N. Manh Dung" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.12659/AJCR.925752" "Revista" => array:3 [ "tituloSerie" => "Am J Case Rep" "fecha" => "2020" "volumen" => "21" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Streptococcus hyovaginalis sp. nov. and Streptococcus thoraltensis sp. nov., from the Genital Tract of Sows" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Devriese" 1 => "B. Pot" 2 => "P. Vandamme" 3 => "K. Kersters" 4 => "M. Collins" 5 => "N. Alvarez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1099/00207713-47-4-1073" "Revista" => array:6 [ "tituloSerie" => "Int J Syst Bacteriol" "fecha" => "1997" "volumen" => "47" "paginaInicial" => "1073" "paginaFinal" => "1077" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9336908" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Streptococcus thoraltensis bacteremia: A case of pneumonia in a postpartum patient" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Wazir" 1 => "M. Grewal" 2 => "A. Jain" 3 => "G. Everett" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7759/cureus.5659" "Revista" => array:3 [ "tituloSerie" => "Cureus" "fecha" => "2019" "volumen" => "11" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Streptococcus thoraltensis bacteremia: First described case as a fever of unknown origin in human" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "N. Petridis" 1 => "A. Apsemidou" 2 => "G. Kalopitas" 3 => "G. Pilianidis" 4 => "I. Avramidis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1155/2018/7956890" "Revista" => array:5 [ "tituloSerie" => "Case Rep Infect Dis" "fecha" => "2018" "volumen" => "2018" "paginaInicial" => "1" "paginaFinal" => "3" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016000000012/v1_202306191131/S2387020623002140/v1_202306191131/en/main.assets" "Apartado" => array:4 [ "identificador" => "43309" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016000000012/v1_202306191131/S2387020623002140/v1_202306191131/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623002140?idApp=UINPBA00004N"]

ISSN: 2387-0206

Launched in 1943, Medicina Clínica is a fortnightly journal aimed at the promotion of clinical research and practice among internal medicine and other specialists. The key characteristics of Medicina Clínica are the scientific and methodological rigor of its manuscripts, the topicality of its contents, and, especially, its practical focus with highly useful information for clinical practice. Medicina Clínica is predominantly interested in publishing original research manuscripts, which are rigorously selected according to their quality, originality, and interest, and also in continued medical education-oriented manuscripts, which are commissioned by the journal to relevant authors (Editorials, Reviews, and Diagnosis and Treatment). These manuscripts contain updated topics with a major clinical or conceptual relevance in modern medicine. The journal adheres to the standards of academic research publications in all aspects including peer-review and ethical principles. Medicina Clínica is included in the General and Internal Medicine category of Thomson Reuters.

See more Open Access Option

Indexed in:

Current Contents/Clinical Medicine, Journal Citation Reports, SCI-Expanded, Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, MEDES, PASCAL, SCOPUS, SciVerse ScienceDirect

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

2.6

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

3.1

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.371

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.511

View more metrics

Journal Information

Previous article | Next article

Vol. 160. Issue 12.

Pages e19-e20 (June 2023)

Lee este artículo en Español

Export reference

Download PDF

Article

These are the options to access the full texts of the publication Medicina Clínica (English Edition)

Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”

Subscribe to

Medicina Clínica (English Edition)

More information

Purchase

Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now

Contact

Phone for subscriptions and reporting of errors

From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.

Calls from Spain

932 415 960

Calls from outside Spain

+34 932 415 960

E-mail

atencionalcliente@elsevier.com

Publish in

Medicina Clínica

Tools

Free access articles

Associations of physical activity, sedentary time,...

Med Clin. 2024;163:327-35

Burden of COVID-19 variant omicron in immunocompromised...

Med Clin. 2024;163:347-59

Raynaud phenomenon in a baseball...

Med Clin. 2024;163:e79

Medicina Clínica (English Edition) follows the Recommendations for the Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals

Indexed in:

Follow us:

Subscribe:

Article

Subscribe to our newsletter