Renal abscess due toSalmonella typhimurium

Dravid, Mrudula N; Joshi, B. N.

doi:10.1007/bf02726778

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…Salmonella may result in bacteremia, gastroenteritis, and subsequent localized infections. In contrast, invasive nontyphoidal salmonellosis seldom affects the kidneys, and renal abscesses produced by Salmonella serovars such as S. virchow [ 7 ], S. enteritidis , S. typhimurium [ 8 , 9 ], and S. oranienburg [ 10 ] have been reported infrequently.…”

Section: Discussionmentioning

confidence: 99%

A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult

Didbaridze¹,

Kochiashvili²,

Kochiashvili³

et al. 2023

Cureus

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Renal abscesses are uncommon in adults and are typically caused by gram-negative bacteria such as Escherichia coli, Proteus mirabilis, or Staphylococcus aureus. Nontyphoid Salmonella abscesses are infrequent. We discuss the case of a 27-year-old previously healthy female who developed a renal abscess due to Salmonella enterica. Abdominal computed tomography (CT) revealed a left renal abscess (size 11.6 cm × 8.2 cm) and 1.9 cm cyst in the right kidney. The urine and abscess aspirate cultures indicated the presence of gram-negative bacilli and lactose-negative Salmonella. A presumptive diagnosis of the left renal abscess was made. A urologist was consulted, and the patient was prepared for a left-sided nephrectomy. The patient's condition improved following treatment with a combination of piperacillin/tazobactam and moxifloxacin. Based on our experience, prompt recognition of nontyphoidal Salmonella as a potential cause of a renal abscess is important to prevent complications such as the extension of the abscess and the spread of the pathogen to adjacent structures.

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Section: Discussionmentioning

confidence: 99%

A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult

Didbaridze¹,

Kochiashvili²,

Kochiashvili³

et al. 2023

Cureus

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“…Salmonella could cause gastroenteritis, bacteraemia, and subsequent focal infections. However, invasive nontyphoidal salmonellosis rarely affects the kidneys, and there are only a small number of reports of renal abscesses caused by Salmonella serovars, such as S. virchow [16], S. enteritidis, S. typhimurium [17,18], and S. oranienburg [19]. Also, some nontyphoidal Salmonella serovars, such as S. choleraesuis and S. dublin, can cause more invasive disease than S. typhimurium or S. bareilly [5].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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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.

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“…Although she may have had some protective factors in the retained kidney transplant, our patient was at an increased risk for bacterial infections and renal abscesses in particular as she is diabetic which leads to increased urinary tract infections and impairment of immune system functions [9][10][11][12]. Salmonella abscesses are rare and reported in only a few case reports [13][14][15][16][17][18][19][20][21][22]. The literature shows that treatment can range from conservative to invasive for renal Salmonella abscesses [23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Salmonella abscess in a Failed Transplanted Kidney

Dejman¹

2017

INID

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An abscess in the kidney is due to salmonellae are rare in the literature and rarer in kidney-transplant patients. The etiology of such abscesses can be difficult to decipher. Salmonella enteric subspecies I serotypes can cause disease in a range of hosts depending on their adaptations. Human host restricted serotypes of typhi, paratyphi A and sendai tend to cause more systemic infections as they are thought to be more adapted to their host. Unrestricted host Salmonella species usually include typhirium and enteritidis and mostly cause self-limited gastroenteritis symptoms but in a range of higher vertebrates [1]. The CDC estimates there are 1.2 million Salmonella infections per year with surveillance data indicating Salmonella serovar enteritidis being the most common serotype followed by Salmonella serovar typhimurium and Salmonella serovar newport. Chicken eggs are known source of these salmonellae outbreaks [2,3]. The patient's history presents a compelling possibility of a previous systemic infection of Salmonella prior to presentation that could have seeded her kidney transplant leading its destruction via abscess. Although full sero typing was not completed, O antigen reactivity did not indicate it was from one of the common subspecies found on surveillance data. Successful treatment included systemic antibiotics with percutaneous drainage. This case report details the rare possibility of a systemic Salmonella infection seeding and destroying a failed kidney graft with subsequent management. Case Presentation53-year-old Jamaican woman with history of hypertension, diabetes mellitus type 2 and end-stage renal disease presented to an outside hospital in December 2013. The patient was admitted with altered mental status, fevers, abdominal pain, fatigue and anorexia ongoing for two months, but without diarrhea. Her graft history dates to 2007 after receiving a deceased donor kidney transplant but failed after graft rejection and resumed hemodialysis in February 2013. Her remaining immunosuppression at time of presentation was prednisone. After resuscitation, she recovered mental status, but abdominal pain persisted which prompted imaging with an MRI showing a fluid collection and air pockets in the right lower quadrant of the abdomen, abutting the right psoas muscle. The patient was started on vancomycin at that time due to concern for Staphylococcus aureus. CT guided abscess drainage on day 5 of hospitalization retrieved 20mL of purulent material that was sent for gram stain and culturing. Gram stain showed 5-10 WBCs (1+) and rare 1-2 gram positive cocci per slide; however, despite no gram negative rods in the smear, few colonies of Salmonella grew from automated aerobic cultures on proprietary media. The patient was changed to ciprofloxacin 200mg BID IV on approximately day 8 th based on Salmonella sensitivities. She was a febrile for the remainder of her hospital course. Final sero typing on day 16 indicated Salmonella enterica subspecies sero type Group O: 47, 48, or 50. Unfortunately due to time and outs...

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Renal abscess due toSalmonella typhimurium

Cited by 7 publications

References 5 publications

A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult

A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult

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

Salmonella abscess in a Failed Transplanted Kidney

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