What is the role of imaging studies in the workup of Proteus infections?

Updated: Mar 03, 2020
  • Author: Shirin A Mazumder, MD, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Ultrasonography of the kidneys or a CT scan should be considered as part of a workup for Proteus infection of the urinary tract that does not resolve quickly with antimicrobial therapy. Calices and/or perinephric abscesses should be excluded. Given the increased severity of Proteus UTIs and the propensity of the organism to cause bacteremia in community-acquired infections and in patients with hydronephrosis or urolithiasis, radiographic studies such as renal ultrasonography or CT scanning should be considered in patients with severe UTIs, especially when complicated by bacteremia.


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