A woman hospitalized in the surgical department complains of pain in her lower abdomen and in the small of her back, frequent and painful urination. Urine culture test revealed gram-negative oxidase- positive bacilli that formed green mucoid colonies with specific smell. What causative agent can be suspected?
Correct Answer: D
Rationale: The correct answer is D: Proteus mirabilis. The patient's symptoms of lower abdominal pain, back pain, frequent/painful urination, and the presence of gram-negative oxidase-positive bacilli forming green mucoid colonies with a specific smell suggest a urinary tract infection caused by Proteus mirabilis. This bacterium is known for causing UTIs and is characterized by its swarming motility and distinctive odor.
A: Pseudomonas aeruginosa is commonly associated with hospital-acquired infections but does not typically cause UTIs with the specific characteristics described.
B: Mycoplasma pneumonia is a bacterium that causes respiratory infections, not UTIs.
C: Str.pyogenes (Streptococcus pyogenes) is a common cause of strep throat and skin infections, not UTIs.
D: Helicobacter pylori is associated with gastritis and peptic ulcers, not UTIs.