ICJIM

The Intercontinental Journal of Internal Medicine aims to publish issues related to all fields of internal medicine of the highest scientific and clinical value at an international level and accepts articles on these topics.

EndNote Style
Index
Case Report
A rare case of Streptococcus pneumoniae urinary tract infection in a chronic hemodialysis patient
We report a rare case of urinary tract infection (UTI) caused by Streptococcus pneumoniae in a chronic hemodialysis (HD) patient with a long-standing tunneled dialysis catheter. A 28-year-old female on thrice-weekly HD developed dysuria accompanied by genital pruritus. Urinalysis demonstrated leukocytosis and hematuria, and urine culture yielded S. pneumoniae. She had no systemic signs of infection but exhibited elevated C-reactive protein (CRP) levels. Based on antimicrobial susceptibility testing, a 7-day course of ceftriaxone resulted in culture negativity. This case highlights the need to consider unusual pathogens in UTIs with complex urogenital risk factors.


1. Melchiorre S. Genetic and epidemiological characterization of Streptococcus pneumoniae disease determinants. Dissertation. Università degli Studi di Napoli Federico II; 2011. <a href="https://doi.org/10.6092/unina/fedoa/8713">doi:10.6092/unina/fedoa/8713</a>
2. Choi R, Ma Y, Park KS, Lee NY, Cho HY, Kim YJ. Streptococcus pneumoniae as a uropathogen in children with urinary tract abnormalities. Pediatr Infect Dis J. 2013;32(12):1386-1388. <a href="https://doi.org/10.1097/INF.0b013e31829efdc4">doi:10.1097/INF.0b013e31829efdc4</a>
3. Lyu S, Shi W, Dong F, et al. Serotype distribution and antimicrobial resistance of pediatric Streptococcus pneumoniae isolated from inpatients and outpatients at Beijing Children's Hospital. Braz J Infect Dis. 2024;28(2): 103734. <a href="https://doi.org/10.1016/j.bjid.2024.103734">doi:10.1016/j.bjid.2024.103734</a>
4. Burckhardt I, Panitz J, van der Linden M, Zimmermann S. Streptococcus pneumoniae as an agent of urinary tract infections: a laboratory experience from 2010 to 2014 and further characterization of strains. Diagn Microbiol Infect Dis. 2016;86(1):97-101. <a href="https://doi.org/10.1016/j.diagmicrobio.2016.06.009">doi:10.1016/j.diagmicrobio.2016.06.009</a>
5. Liu YN, Zhang YF, Xu Q, et al. Infection and co-infection patterns of community-acquired pneumonia in patients of different ages in China from 2009 to 2020: a national surveillance study. Lancet Microbe. 2023; 4(5):e330-e339. doi:10.1016/S2666-5247(23)00031-9
6. Thrisharika U, Sowjanya M, Prapurna Chandra Y. A review on urinary tract infection on pediatric and women's health. Int J Health Care Biol Sci. 2025;6(1):1-5. <a href="https://doi.org/10.46795/ijhcbs.v6i1.648">doi:10.46795/ijhcbs.v6i1.648</a>
7. Pougnet R, Sapin J, De Parscau L, Pougnet L. Streptococcus pneumoniae urinary tract infection in pedeatrics. Ann Biol Clin (Paris). 2017;75(3):348-350. <a href="https://doi.org/10.1684/abc.2017.1241">doi:10.1684/abc.2017.1241</a>
Volume 4, Issue 3, 2026
Page : 72-73
_Footer