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A chronic maintenance hemodialysis patient with severe oliguria and persistent anaerobic urinary tract infection owing to Bacteroides fragilis is presented. Review of the literature shows that the incidence of anaerobic pathogens in random urine cultures is high but that the incidence of clinically significant infection is low. Since the urethra harbors anaerobic organisms suprapubic aspiration of urine and culture are indicated to confirm true anaerobic urinary tract infection. Anaerobic infections are associated with urinary tract abnormalities and pyuria. The various therapeutic maneuvers that were used to treat the infection are discussed, including antibiotic instillation into the bladder and nephrectomy.
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
July 1980,
The Journal of urology,
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
September 1977,
The Journal of antimicrobial chemotherapy,
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
February 2003,
European journal of internal medicine,
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
January 1987,
Akusherstvo i ginekologiia,
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
February 1998,
Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases,
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
January 1972,
Acta pathologica et microbiologica Scandinavica. Section B: Microbiology and immunology,
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
January 1992,
Nihon rinsho. Japanese journal of clinical medicine,
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
April 1980,
Orthopedics,
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
November 1967,
Memoires. Academie de chirurgie (France),
A P Swamy, and
R V Cestero, and
D W Bentley, and
C A Linke
August 1971,
Rinsho byori. The Japanese journal of clinical pathology,
