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Staphylococcus saprophyticus as the Cause of Infected Urinary Calculus

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▸Requests for reprints should be addressed to Jackson E. Fowler, Jr., M.D.; Division of Urology, University of Illinois College of Medicine; Box 6998; Chicago, IL 60680.

Department of Urology, University of Virginia School of Medicine; Charlottesville, Virginia

Ann Intern Med. 1985;102(3):342-343. doi:10.7326/0003-4819-102-3-342
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Approximately 10% of symptomatic urinary tract infections in young adult women are caused by Staphylococcus saprophyticus, a novobiocin-resistant, coagulase-negative Staphylococcus that synthesizes urease (1, 2). Recurrent infection due to S. saprophyticus occurs in approximately 10% of patients after appropriate antimicrobial therapy (1, 3). We report the case of a patient with a struvite urinary calculus infected by S. saprophyticus that apparently was the cause of recurrent staphylococcal bacteruria.

A 31-year-old white woman had a recent onset of urinary frequency and dysuria. She was pregnant but had had no previous urologic disorders. A midstream urine specimen taken on 12 March 1982


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