{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T14:21:19Z","timestamp":1762093279531,"version":"build-2065373602"},"reference-count":14,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,8,24]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>An elderly male with an extensive medical history was admitted for sepsis of unspecified origin; the source was later found to be an <jats:italic>Aerococcus urinae<\/jats:italic> urinary tract infection. Urinalysis and conventional urine culture were used in diagnosing this infection, and it was successfully treated with a 7-day course of intravenous ceftriaxone. The patient had no recurrence of urinary symptoms or development of complications at his follow-up. While <jats:italic>A. urinae<\/jats:italic> has traditionally been described as an uncommon and relatively avirulent source of urinary tract infections, increasing reports of positive isolation suggest its incidence may be higher than previously believed. Cases have been more frequently reported among elderly males with multimorbidity and repeat hospitalisation. A lower threshold of suspicion for <jats:italic>A. urinae<\/jats:italic> urinary tract infections in this population may better guide empiric therapy and help avoid potentially life-threatening complications.<\/jats:p>","DOI":"10.1136\/bcr-2023-257496","type":"journal-article","created":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T13:06:26Z","timestamp":1695215186000},"page":"e257496","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Aerococcus urinae<\/i> urinary tract infection in a hospitalised patient: an increasingly common infection"],"prefix":"10.1136","volume":"16","author":[{"given":"Matthew","family":"Zabel","sequence":"first","affiliation":[{"name":"College of Osteopathic Medicine, Rocky Vista University College of Osteopathic Medicine, Parker, Colorado, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Longfellow","sequence":"additional","affiliation":[{"name":"Internal Medicine Residency Faculty, Parkview Medical Center, Pueblo, Colorado, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,9,20]]},"reference":[{"key":"2025082710013731000_16.9.e257496.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2015.09.026"},{"key":"2025082710013731000_16.9.e257496.2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00835-10"},{"key":"2025082710013731000_16.9.e257496.3","article-title":"A case report of Aerococcus Urinae urinary tract infection in an elderly male with multimorbidity","volume":"14","author":"Balouch","year":"2022","journal-title":"Cureus"},{"key":"2025082710013731000_16.9.e257496.4","article-title":"Necrotizing urethritis due to Aerococcus Urinae","volume":"2015","author":"Babaeer","year":"2015","journal-title":"Case Rep Urol"},{"key":"2025082710013731000_16.9.e257496.5","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-022-03564-8","article-title":"Aerococcus urinae, a rare cause of aortic root abscess: a case report","volume":"16","author":"Tiong","year":"2022","journal-title":"J Med Case Rep"},{"key":"2025082710013731000_16.9.e257496.6","article-title":"Aerococcus urinae endocarditis: a case report and literature review","volume":"14","author":"Saeed Al-Asad","year":"2022","journal-title":"Cureus"},{"key":"2025082710013731000_16.9.e257496.7","first-page":"221","article-title":"An initially unidentified case of urinary tract infection due to Aerococcus urinae","volume":"40","author":"Meletis","year":"2017","journal-title":"New Microbiol"},{"key":"2025082710013731000_16.9.e257496.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2005.06.021"},{"key":"2025082710013731000_16.9.e257496.9","doi-asserted-by":"publisher","DOI":"10.1099\/00221287-138-2-401"},{"key":"2025082710013731000_16.9.e257496.10","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.38.4.1703-1705.2000"},{"key":"2025082710013731000_16.9.e257496.11","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.40.4.1129-1133.2002"},{"key":"2025082710013731000_16.9.e257496.12","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1128\/jcm.31.5.1350-1353.1993","article-title":"Development of a polymerase chain reaction test for specific identification of the urinary tract pathogen Aerococcus urinae","volume":"31","author":"Aguirre","year":"1993","journal-title":"J Clin Microbiol"},{"key":"2025082710013731000_16.9.e257496.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2015.10.010"},{"key":"2025082710013731000_16.9.e257496.14","doi-asserted-by":"crossref","DOI":"10.1128\/spectrum.02763-22","article-title":"Susceptibility of Aerococcus urinae and Aerococcus sanguinicola to standard antibiotics and to Nitroxoline","volume":"11","author":"Ahmadzada","year":"2023","journal-title":"Microbiol Spectr"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-257496","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:01:42Z","timestamp":1756314102000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-257496"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":14,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2023,9,20]]},"published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1136\/bcr-2023-257496"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-257496","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}