Title: Staphylococcus saprophyticus Urinary Tract Infection in Men:... : Infectious Diseases in Clinical Practice
Headings: Staphylococcus saprophyticus
Urinary Tract Infection in Men: A Case Report and Review of the Literature

Staphylococcus saprophyticus Urinary Tract Infection in Men: A Case Report and Review of the Literature
CASE
DISCUSSION
REFERENCES

Content: In one series, median age of patients was 70 years. 6 In men, there is no seasonal predisposition. In females, incidence is generally higher in summer and fall, then in the winter and spring. 4 Although no reason has been found so far, it is possible that because of salt-tolerant nature of this organism, sweating in summer and fall is favorable for colonization or infection. 7
Of the male patients, approximately 50% are hospitalized, while females are almost entirely outpatients. 6 Evidences suggest that about 75% of patients have predisposing cause or have undertaken iatrogenic measures, and almost half of patients have indwelling foley catheters. 6-8 Thus, although S. saprophyticus causes uncomplicated UTI in women, it causes complicated UTI in men. The reason for this variation is unclear and warrants further investigation. In addition to UTIs, it may be an important pathogen in bacterial prostatitis. 9 In one series, it was isolated from urethral specimens of 35/170 men with symptoms of urethritis, suggesting that it may be an etiologic agent in some cases of nongonococcal urethritis.