Most common etiologic agent of infection

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A 21-years old woman presents to the office with 3-day duration of discomfort with urination and increased urinary frequency. She has noted that the urine has a strong odor as well. She denies fever, abdominal pain, back pain, vaginal discharge, or skin rash. She is sexually active and takes oral contraceptive pills. On examination, she is comfortable appearing and afebrile. She has no costovertebral angle tenderness. Abdominal exam is notable only for suprapubic tenderness. Microscopic examination of the sediment of a centrifuged urine sample reveals 10-15 white blood cells (WBC) per high power field and numerous bacteria.

  • What type of microorganism would a Gram stain of the urine most likely show?
  • What is the most common etiologic agent of this infection?
  • What is the most likely reservoir of this infection?
  • What is the most likely mechanism by which this microorganism infects the urinary tract?
  • Treatment and Prevention?

Reference no: EM132704468

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