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Brief ReportBrief Report

Staphylococcus epidermidis in Urine Is Not Always Benign: A Case Report of Pyelonephritis in a Child

Valentina Lozano, Gabriela Fernandez, Patricia L. Spencer, Susan L. Taylor and Robert Hatch
The Journal of the American Board of Family Medicine January 2015, 28 (1) 151-153; DOI: https://doi.org/10.3122/jabfm.2015.01.140118
Valentina Lozano
From the Department of Community Health and Family Medicine, and the H. James Free Center for Primary Care Education and Innovation, University of Florida College of Medicine, Gainesville, FL (VL, GF, RH); and the Department of Family Medicine, Memorial Hospital of Converse County, Douglas, WY (PLS, SLT).
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Gabriela Fernandez
From the Department of Community Health and Family Medicine, and the H. James Free Center for Primary Care Education and Innovation, University of Florida College of Medicine, Gainesville, FL (VL, GF, RH); and the Department of Family Medicine, Memorial Hospital of Converse County, Douglas, WY (PLS, SLT).
BS
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Patricia L. Spencer
From the Department of Community Health and Family Medicine, and the H. James Free Center for Primary Care Education and Innovation, University of Florida College of Medicine, Gainesville, FL (VL, GF, RH); and the Department of Family Medicine, Memorial Hospital of Converse County, Douglas, WY (PLS, SLT).
MD, MBA, MPH
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Susan L. Taylor
From the Department of Community Health and Family Medicine, and the H. James Free Center for Primary Care Education and Innovation, University of Florida College of Medicine, Gainesville, FL (VL, GF, RH); and the Department of Family Medicine, Memorial Hospital of Converse County, Douglas, WY (PLS, SLT).
PharmD
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Robert Hatch
From the Department of Community Health and Family Medicine, and the H. James Free Center for Primary Care Education and Innovation, University of Florida College of Medicine, Gainesville, FL (VL, GF, RH); and the Department of Family Medicine, Memorial Hospital of Converse County, Douglas, WY (PLS, SLT).
MD, MPH
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    Table 1. Case Reports of Previously Healthy Boys Who Had a Urinary Tract Infection Caused by Staphylococcus epidermidis and the Urinary Tract Abnormality Found on Each Case
    AuthorsAge (years)Symptoms ReportedUrinalysis (cells/hpf)Urine culture (Staphylococcus epidermidis growth in CFUs/mL)Second Urine CultureUrinary Tract Abnormality
    Hagler & Dobkin29Dysuria, difficulty initiating urinary streamRBCs 3–6, WBCs 100, large bacteria>100,000 and EnterococcusSame as firstDiverticulum of the bladder
    11Fever, abdominal pain, vomiting, sore throat, diarrheaWBCs 20–30, large bacteria>100,000Same as firstDiverticulum of the bladder
    Hall & Snitzer36Fever, abdominal and flank pain, vomitingRBCs 2–4, proteinuria +1, ketonuria +1>1,000,000Same as firstBilateral grade III reflux, bilateral duplicating collecting system
    7Fever, abdominal pain, vomiting, chillsRBCs 0–1, WBCs 3–5, proteinuria +1, trace blood, ketonuria +2>100,000>50,000Right grade III reflux, left grade II reflux
    McDonald and Lohr411Fever, abdominal pain, vomiting,WBCs 5–8, trace leukocyte esterase>100,000Same as firstRight grade III reflux
    Upadhyayula et al5<1Fever, upper respiratory symptomsWBCs <51000–100,000>100,000Right grade V reflux, left grade IV reflux
    • RBC, red blood cell; WBC, white blood cell.

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The Journal of the American Board of Family     Medicine: 28 (1)
The Journal of the American Board of Family Medicine
Vol. 28, Issue 1
January-February 2015
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Staphylococcus epidermidis in Urine Is Not Always Benign: A Case Report of Pyelonephritis in a Child
Valentina Lozano, Gabriela Fernandez, Patricia L. Spencer, Susan L. Taylor, Robert Hatch
The Journal of the American Board of Family Medicine Jan 2015, 28 (1) 151-153; DOI: 10.3122/jabfm.2015.01.140118

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Staphylococcus epidermidis in Urine Is Not Always Benign: A Case Report of Pyelonephritis in a Child
Valentina Lozano, Gabriela Fernandez, Patricia L. Spencer, Susan L. Taylor, Robert Hatch
The Journal of the American Board of Family Medicine Jan 2015, 28 (1) 151-153; DOI: 10.3122/jabfm.2015.01.140118
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