1887

Abstract

Non-typhoidal Salmonella (NTS) causes urinary tract infections infrequently and are usually associated with presence of genitourinary abnormalities.

We report a case of immunocompetent male in his early 20 s with phimosis presented with history of dysuria and burning micturition for 4 months. A renal ultrasonography showed presence of bilateral intrarenal calculi. Urine analysis revealed presence of non-typhoidal Salmonella. Automated identification systems performed poorly in identification of serotype. On serotyping, it was identified as in the referral centre. The patient was managed with oral antibiotics.

This report highlights the issues of inaccurate identification of NTS even with advanced automated systems and early initiation of therapy based on the knowledge of local susceptibility patterns. UTI in immunocompetent individuals by non-typhoidal Salmonella should always be investigated further to rule out genitourinary abnormalities and appropriate antibiotics must be started to avoid chronicity and complications.

  • This is an open-access article distributed under the terms of the Creative Commons Attribution License.
Loading

Article metrics loading...

/content/journal/acmi/10.1099/acmi.0.000610.v5
2023-12-06
2024-02-25
Loading full text...

Full text loading...

/deliver/fulltext/acmi/5/12/acmi000610.v5.html?itemId=/content/journal/acmi/10.1099/acmi.0.000610.v5&mimeType=html&fmt=ahah

References

  1. Kumar S, Kumar Y, Kumar G, Kumar G, Tahlan AK. Non-typhoidal Salmonella infections across India: emergence of a neglected group of enteric pathogens. J Taibah Univ Med Sci 2022; 17:747–754 [View Article] [PubMed]
    [Google Scholar]
  2. Jehangir A, Poudel D, Fareedy SB, Salman A, Qureshi A et al. Group D salmonella urinary tract infection in an immunocompetent male. Case Rep Infect Dis 2015; 2015:608632 [View Article] [PubMed]
    [Google Scholar]
  3. Sarria JC, Vidal AM, Kimbrough RC. Salmonella enteritidis brain abscess: case report and review. Clin Neurol Neurosurg 2000; 102:236–239 [View Article] [PubMed]
    [Google Scholar]
  4. Vijaya D, Janakiram K. Salmonella Enteritidis Causing Gastroenteritis: A Case Report.J Clin Diagn Res 2012;6:727-8.
  5. Hall RL, Partridge R, Venkatraman N, Wiselka M. Invasive non-typhoidal salmonella infection with multifocal seeding in an immunocompetent host: an emerging disease in the developed world. Case Rep 2013; 2013:bcr2012008230 [View Article]
    [Google Scholar]
  6. Chen C-P, Shi Z-Y, Chen C-H, Chen W-M, Lin Y-H et al. Nontyphoidal salmonella urinary tract infection in a case of hyperparathyroidism and nephrocalcinosis. West Indian Med J 2014; 63:94–97 [View Article] [PubMed]
    [Google Scholar]
  7. Eng RHK, Smith SM, Kloser P. Nontyphoid salmonella urinary tract infections. Diagn Microbiol Infect Dis 1987; 6:223–228 [View Article] [PubMed]
    [Google Scholar]
  8. Cohen JI, Bartlett JA, Corey GR. Extra-intestinal manifestations of salmonella infections. Medicine 1987; 66:349–388 [View Article] [PubMed]
    [Google Scholar]
  9. Ramos JM, Aguado JM, García-Corbeira P, Alés JM, Soriano F. Clinical spectrum of urinary tract infections due on nontyphoidal Salmonella species. Clin Infect Dis 1996; 23:388–390 [View Article] [PubMed]
    [Google Scholar]
  10. Tena D, González-Praetorius A, Bisquert J. Urinary tract infection due to non-typhoidal Salmonella: report of 19 cases. J Infect 2007; 54:245–249 [View Article] [PubMed]
    [Google Scholar]
  11. Crawford RW, Rosales-Reyes R, Ramírez-Aguilar M de la L, Chapa-Azuela O, Alpuche-Aranda C et al. Gallstones play a significant role in Salmonella spp. gallbladder colonization and carriage. Proc Natl Acad Sci U S A 2010; 107:4353–4358 [View Article] [PubMed]
    [Google Scholar]
  12. Tavichakorntrakool R, Prasongwattana V, Sungkeeree S, Saisud P, Sribenjalux P et al. Extensive characterizations of bacteria isolated from catheterized urine and stone matrices in patients with nephrolithiasis. Nephrol Dial Transplant 2012; 27:4125–4130 [View Article] [PubMed]
    [Google Scholar]
  13. Günşar C, Kurutepe S, Alparslan O, Yilmaz O, Dağlar Z et al. The effect of circumcision status on periurethral and glanular bacterial flora. Urol Int 2004; 72:212–215 [View Article] [PubMed]
    [Google Scholar]
  14. Serour F, Samra Z, Kushel Z, Gorenstein A, Dan M. Comparative periurethral bacteriology of uncircumcised and circumcised males. Genitourin Med 1997; 73:288–290 [View Article] [PubMed]
    [Google Scholar]
  15. Singh-Grewal D, Macdessi J, Craig J. Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies. Arch Dis Child 2005; 90:853–858 [View Article] [PubMed]
    [Google Scholar]
  16. Holzman SA, Chamberlin JD, Davis-Dao CA, Le DT, Delgado VA et al. Retractable foreskin reduces urinary tract infections in infant boys with vesicoureteral reflux. J Pediatr Urol 2021; 17:209 [View Article] [PubMed]
    [Google Scholar]
  17. Mokadem S, Nouioui MA, Kalai S, Taktak T, Mediouni H et al. Non typhoidal Salmonella pyonephrosis in an asymptomatic immunocompetent patient. Case Rep Urol 2019; 2019:4198275 [View Article] [PubMed]
    [Google Scholar]
  18. Rodriguez M, de Diego I, Martinez N, Rosario Rodicio M, Carmen Mendoza M. Nontyphoidal salmonella causing focal infections in patients admitted at a Spanish general hospital during an 11-year period (1991–2001). Int J Med Microbiol 2006; 296: [View Article]
    [Google Scholar]
  19. Klosterman SA. Salmonella-related urinary tract infection in an elderly patient. BMJ Case Rep 2014; 2014:bcr2014204552 [View Article] [PubMed]
    [Google Scholar]
  20. Abbott SL, Portoni BA, Janda JM. Urinary tract infections associated with nontyphoidal Salmonella serogroups. J Clin Microbiol 1999; 37:4177–4178 [View Article]
    [Google Scholar]
  21. Kang L, Li N, Li P. MALDI-TOF mass spectrometry. Eur J Mass Spectrom 2017; 23:70–82 [View Article]
    [Google Scholar]
  22. Mangmee S, Reamtong O, Kalambaheti T, Roytrakul S, Sonthayanon P. MALDI-TOF mass spectrometry typing for predominant serovars of non-typhoidal Salmonella in a Thai broiler industry. Food Control 2020; 113:107188 [View Article]
    [Google Scholar]
  23. Chen L, Olojo T, Alhafez BA. Invasive nontyphoidal Salmonella infection in a patient with Roux-en-Y gastric bypass and gastrostomy tube: a case report. J Med Case Reports 2021; 15: [View Article]
    [Google Scholar]
  24. Suresh T, Hatha AAM, Sreenivasan D, Sangeetha N, Lashmanaperumalsamy P. Prevalence and antimicrobial resistance of Salmonella enteritidis and other salmonellas in the eggs and egg-storing trays from retail markets of Coimbatore, South India. Food Microbiol 2006; 23:294–299 [View Article] [PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/acmi/10.1099/acmi.0.000610.v5
Loading
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error