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We describe a 20\u2010year\u2010old female with a history of remote heart transplant on everolimus, mycophenolate, and rituximab presenting with progressive urinary tract symptoms, renal failure, and neurologic symptoms. An extensive workup ultimately identified <jats:italic>U\u00a0urealyticum<\/jats:italic> infection, and the patient successfully recovered after a course of azithromycin and doxycycline.<\/jats:p>","DOI":"10.1111\/tid.13032","type":"journal-article","created":{"date-parts":[[2018,11,25]],"date-time":"2018-11-25T14:28:38Z","timestamp":1543156118000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["<i>Ureaplasma urealyticum<\/i> pyelonephritis presenting with progressive dysuria, renal failure, and neurologic symptoms in an immunocompromised patient"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1568-7733","authenticated-orcid":false,"given":"Drew J.","family":"Schwartz","sequence":"first","affiliation":[{"name":"Division of Pediatric Infectious Diseases, Department of Pediatrics Washington University School of Medicine  Saint Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Elward","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Diseases, Department of Pediatrics Washington University School of Medicine  Saint Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory A.","family":"Storch","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Diseases, Department of Pediatrics Washington University School of Medicine  Saint Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1081-772X","authenticated-orcid":false,"given":"David A.","family":"Rosen","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Diseases, Department of Pediatrics Washington University School of Medicine  Saint Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,10]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2009.02842.x"},{"issue":"12","key":"e_1_2_4_3_1","first-page":"1","article-title":"Are Ureaplasma spp. a cause of nongonococcal urethritis? 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