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KMID : 1234520090040010100
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Korean Journal of Urogenital Tract Infection Inflammation
2009 Volume.4 No. 1 p.100 ~ p.103
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Ciprofloxacin Resistant and Extended Spectrum β-Lactamase Producing Escherichia Coli Cultured in a Urosepsis Patient by Urinary Stone Complicated Acute Pyelonephritis
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LIm Dong-Hoon
Kim Chul-Sung
Seo Hae-Pyoung
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Abstract
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Urosepsis in adults comprises approximately 25% of all sepsis cases and in most cases is due to complicated urinary tract infections (UTIs). Escherichia Coli (E. coli) and other Enterobacteriaceae can be expected to be the predominant pathogens in the patients with community acquired urosepsis, which needs appropriate empirical antimicrobial treatment. However, recently, increasing worldwide prevalence of quinolone-resistant E. coli and/or extended spectrum β-lactamase (ESBL) producing E.coli has made clinicians difficult in treating UTIs. Lately, we experienced a urosepsis patient by quinolone-resistant and ESBL producing E. coli, with urinary stone complicated acute pyelonephritis, who didn’t show any response to empirical antibiotics or appropriate bacterial culture results. We report this case to emphasis the importance of multi-drug resistance bacteria such as quinolone resistant and ESBL producing E. coli, although it is known widely, but easy to pass over.
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KEYWORD
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Urinary tract infection, Escherichia coli, Antibiotic resistance, Quinolones, Beta-Lactamases
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