Asymptomatic bilateral obstructing ureteric calculi resulting in Lactobacillaemia and endocarditis requiring emergency aortic valve replacement

Thomas Minto; Nicholas Bullock; Indu Deglurkar; Owen Hughes

doi:10.1016/j.eucr.2020.101218

Asymptomatic bilateral obstructing ureteric calculi resulting in Lactobacillaemia and endocarditis requiring emergency aortic valve replacement

Urol Case Rep. 2020 Apr 22:32:101218. doi: 10.1016/j.eucr.2020.101218. eCollection 2020 Sep.

Authors

Thomas Minto¹, Nicholas Bullock^{1

2}, Indu Deglurkar³, Owen Hughes¹

Affiliations

¹ Department of Urology, Cardiff and Vale University Health Board, University Hospital of Wales, Cardiff, UK.
² Division of Cancer and Genetics, Cardiff University School of Medicine, Cardiff, UK.
³ Department of Cardiothoracic Surgery, Cardiff and Vale University Health Board, University Hospital of Wales, Cardiff, UK.

Abstract

Ureteric calculi are a common cause of emergency presentation to hospitals in the United Kingdom and worldwide. A significant and life threatening complication of those stones that obstruct the ureter is pyonephrosis, bacteraemia and resulting sepsis. Whilst the majority of such cases present with the typical symptoms of loin pain and fever, here we describe the case of a 57 year old patient with asymptomatic bilateral obstructing ureteric calculi that led to bacteraemia from a rare bacterial pathogen, Lactobacillus jensenii, and subsequent severe bacterial endocarditis requiring emergency aortic valve replacement.

Keywords: Aortic valve replacement; Endocarditis; Lactobacillus; Ureteric calculi.

Publication types

Case Reports