A case of a renal abscess caused by Salmonella bareilly in a previously healthy boy

Abstract

Background Renal abscesses are relatively uncommon in children, and usually due to Gram-negative rods or Staphylococcus aureus, whereas abscesses caused by Salmonella are very rare. Case presentation We present the case of a previously healthy 10-year-old boy who had a renal abscess due to Salmonella bareilly. He responded well to treatment with antibiotics, and computed tomography (CT)-guided drainage of the abscess. His blood, urine and abscess aspirate cultures were sterile, but a broad-range 16S rDNA polymerase chain reaction (PCR) assay of the aspirate followed by analysis of four Salmonella genes (fliC, fliD, sopE2, and spaO) identified S. bareilly as the causative agent. Conclusion To the best of our knowledge, this is the first report of renal abscess caused by S. bareilly.

A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult

“…Symptoms of a renal abscess caused by nontyphoidal Salmonella can include fever, chills, and abdominal pain [ 11 ]. In addition, individuals may also experience nausea, vomiting, and an overall feeling of being unwell.…”

Salmonella Mississippi: An unusual cause of renal abscess in an immunocompetent patient

“… 4 In the literature there have been only a few cases of Salmonella species as a cause for renal abscess. 1 , 2 , 3 , 4 …”

“…Initial administration of broad-spectrum antibiotics such as cephalosporins are recommended, especially in the paediatric population. 3 Prolonged course of antibiotics is advised with a duration of 3–6 weeks. 2 Like our case, Salmonella renal abscesses have been managed with radiological percutaneous drainage in addition to antibiotics either with ultrasound or CT. 1 , 3 , 4 Similarly to us, serial imaging to confirm interval resolution of renal abscess have also been performed.…”

“… 1 Risk factors include urinary tract structural abnormality, renal stones, and immunocompromised state. 2 , 3 Symptoms can include fever, dysuria, urinary frequency and costovertebral angle tenderness. 1 …”