A 39-Year-Old Paraplegic Man with an Indwelling Bladder Catheter Comes

A 39-year-old paraplegic man with an indwelling bladder catheter comes to the emergency department complaining of 24 hours of rigors, nausea, and vomiting.  His temperature is 38.9 C (102 F) .  Physical examination shows suprapubic and costovertebral angle tenderness.  Urinalysis shows 3+ leukocyte esterase and numerous white blood cells.  Urine and blood cultures grow non-lactose-fermenting Gram-negative rods.  Which of the following pathogens is the most likely culprit?

A) Enterobacter cloacae
B) Enterococcus faecalis
C) Escherichia coli
D) Klebsiella pneumoniae
E) Pseudomonas aeruginosa
F) Staphylococcus saprophyticus

Correct Answer:

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