Pediatric Citrobacter Urinary Tract Infections: A Case Report Highlighting Emerging Trends

Case Report

Abstract

Urinary tract infections (UTIs) caused by Citrobacter species in pediatric patients present a unique and infrequently reported scenario in clinical practice. This case report delves into the clinical presentation, diagnostic challenges, treatment modalities, and overall management of a pediatric UTI caused by Citrobacter. Through a literature review, it becomes evident that while Citrobacter infections are more commonly observed in adults, especially the elderly population, recent studies signal a rising trend in pediatric cases globally. Noteworthy findings from published cases underscore the diverse clinical manifestations and associated challenges. We present the case of a 1-month-old male who presented with feeding difficulties and irritability, subsequently diagnosed with a UTI caused by Citrobacter koseri. Despite lacking typical risk factors or symptoms associated with Citrobacter UTIs, the patient demonstrated a favorable response to antibiotic therapy. This case stresses the evolving nature of Citrobacter infections in the pediatric population and emphasizes the importance of vigilance in recognition and management. Further research is warranted to better understand this emerging trend and its implications for pediatric care.