| A Case of Acute Pyelonephritis Caused by Enterococcus Hirae in a Patient with a Horseshoe Kidney |
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Ki Hyun Kim, Ji Hyun Yoon, Tae Hoon Kim, Hong Jin Yoon, Jae Young Cheon, Sung Joon Jin, Young Goo Song |
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Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea |
| 마제신 환자에서 발생한 Enterococcus hirae 신우신염 1예 |
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김기현, 윤지현, 김태훈, 윤홍진, 천재영, 진성준, 송영구 |
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연세대학교 의과대학 강남세브란스병원 내과 |
Correspondence:
Young Goo Song, Tel: +82-2-2019-3319, Fax: +82-2-3463-3882, Email: imfell@yuhs.ac
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Received: 18 July 2013 • Revised: 2 October 2013 • Accepted: 4 November 2013 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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| Abstract |
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Enterococcus hirae mainly causes infections in animals. It has been rarely encountered in humans and, in most such cases, it is considered to be a contaminant or resident flora. Since the first case of septicemia by E. hirae was reported in 1998, only two cases of acute pyelonephritis (APN) have been reported in Korea. We describe herein a case of APN caused by E. hirae in an 83-year-old man with a horseshoe kidney. Although E. hirae was isolated only from urine and not from the blood, we were able to diagnose it as the causative organism based on the patient’s clinical findings, imaging study results, and risk factors including old age, benign prostatic hypertrophy, and a horseshoe kidney. |
| Key Words:
Enterococcus; Pyelonephritis; Horseshoe kidney |
| 주제어:
장구균; 신우신염; 마제신 |
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