URINARY-TRACT INFECTION CAUSED BY NONTYPHOIDAL SALMONELLA - REPORT OF 30 CASES

被引:32
作者
ALLERBERGER, FJ
DIERICH, MP
EBNER, A
KEATING, MR
STECKELBERG, JM
YU, PKW
ANHALT, JP
机构
[1] Federal Public Health Laboratory, Innsbruck
[2] Department of Urology, University of Innsbruck
[3] Division of Infectious Diseases, Mayo Clinic and Mayo Foundation, Rochester, MN
[4] Section of Clinical Microbiology, Mayo Clinic and Mayo Foundation, Rochester, MN
关键词
URINARY TRACT INFECTION; SALMONELLOSIS; NONTYPHOIDAL SALMONELLA;
D O I
10.1159/000282362
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Thirty cases of nontyphoidal Salmonella bacteriuria were identified by review of cultures performed at the Mayo Clinic (Minn.) from 1985 to 1989 and at the Federal Public Health Laboratory Innsbruck (Austria) from 1979 to 1989. All patients had symptoms of an acute urinary tract infection (UTI). In 24 cases nontyphoidal Salmonella was the sole pathogen isolated. Only 1 patient presented with concomitant gastroenteritis and 2 had experienced episodes of diarrhea during the weeks before the UTI, but 15 patients had positive stool cultures in the absence of a gastrointestinal illness. Among all positive urine cultures at the Mayo Microbiology Laboratory, 0.015% were positive for nontyphoidal Salmonella; at the Federal Public Health Laboratory Innsbruck, 0.024% of organisms cultured from urine were nontyphoidal salmonellae. In the majority of our patients, Salmonella UTI did not differ clinically from UTI caused by other members of the Enterobacteriaceae; only in renal transplant recipients was the course of genitourinary salmonellosis more serious. While some urinary isolates of nontyphoidal Salmonella may be fecal contaminants, all 30 isolates recovered from urine during this study were considered to be the cause of symptomatic UTI.
引用
收藏
页码:395 / 400
页数:6
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