Fannyhessea vaginae causing bacteraemia and vertebral osteomyelitis: first report of invasive disease in a male

作者：Victoria Jordan, Ayesha Akram, Robert Pickles, Alyssa Arnold, Syeda Naqvi · 发表于：Access Microbiology · 年份：2024 · DOI：10.1099/acmi.0.000785.v3 · 被引用次数：4 · 研究领域：Urinary Tract Infections Management、Reproductive tract infections research、Pelvic floor disorders treatments

Introduction. Fannyhessea vaginae (formerly Atopobium vaginae ) is an anaerobic organism commonly associated with female genital flora, with rare cases of invasive disease reported in females. Case report. We discuss the case of an 81-year-old male who presented with an acute history of back pain and signs of urinary tract infection in the context of intermittent self-urinary catheterisation. Multiple blood cultures grew Fannyhessea vaginae with a later finding of lumbar vertebral osteomyelitis as the cause of back pain. Treatment was commenced with ampicillin, later switched to ceftriaxone, with improvement of acute signs of infection. Conclusion. Gram-positive anaerobic organisms including Fannyhessea vaginae are possibly under-recognised causes of urinary tract particularly in older males. These bacteria may prove challenging to grow in standard protocols for urine culture; anaerobic or extended incubation could be considered particularly in complicated cases of urinary tract infection without an identifiable pathogen.