关键词: affordable healthcare congenital bladder diverticula elderly falls enterococcus faecium lower urinary tract symptoms recurrent syncope urinary bladder diverticulum

来  源:   DOI:10.7759/cureus.42361   PDF(Pubmed)

Abstract:
Enterococcus faecium is a Gram-positive flora bacterium home to the gastrointestinal tracts of humans. A true ubiquitous pathogen and a member of the intestinal microbiome, formerly known as group D streptococci, this pathogen has been around for over 10 centuries. Enterococcus faecium thrives in the presence of stool and sewage. The ability to cause endocarditis and urinary tract infections (UTIs) has led to morbidity and mortality in the adult population. We report a case of an elderly woman who presented with multiple falls to our trauma bay area. She was initially managed as trauma during multiple visits with superficial scalp lacerations. However, with multiple falls, she was subsequently transferred to medicine to rule out cardiogenic versus neurogenic syncope. She was admitted to the telemetry unit, and a cardiologist was consulted. Orthostatic vitals were negative, and she had no fever or leukocytosis. Abdominal computed tomography (CT) done as part of the standard trauma workup revealed an interesting finding of multiple bladder diverticula.
摘要:
屎肠球菌是人类胃肠道的革兰氏阳性菌群细菌。一个真正的无处不在的病原体和肠道微生物组的成员,以前被称为D组链球菌,这种病原体已经存在了10多个世纪。屎肠球菌在粪便和污水的存在下生长。引起心内膜炎和尿路感染(UTI)的能力已导致成人人群的发病率和死亡率。我们报告了一例老年妇女在我们的创伤海湾地区多次跌倒的情况。她最初在头皮浅层撕裂的多次就诊中被视为创伤。然而,多次跌倒,她随后被转移到内科,以排除心源性晕厥和神经源性晕厥。她被送进了遥测组,咨询了一名心脏病专家。体位生命体征为阴性,她没有发烧和白细胞增多.作为标准创伤检查的一部分进行的腹部计算机断层扫描(CT)发现了多个膀胱憩室的有趣发现。
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