Sönmez F, Yazici M, Aydin N, Eyigör M, Univar T, Inan G, Gürel M
Department of Pediatrics, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.
Turk J Pediatr. 2001 Jan-Mar;43(1):76-8.
Salmonella infections lead to several clinical syndromes such as acute gastroenteritis and bacteremia. Less frequent manifestations are extraintestinal focal infections, including urinary tract infections. A 10-month-old boy was admitted to the hospital with recurrent urinary tract infections treated with antibiotics. Salmonella typhimurium was isolated from the urine samples obtained in urine bags. The organism was also grown from a suprapreputial swab, but was not grown in the suprapubic urine specimen. Renal ultrasonography, intravenous pyelography and voiding cystourethrogram were found normal. The patient was then circumcised, following with no uropathogens were isolated from the urine. It is believed that circumcision not only prevented further urinary tract infection and protected the case from becoming a carrier of Salmonella typhimurium, it also halted a possible spread of Salmonella infection to the general public.
沙门氏菌感染会引发多种临床综合征，如急性肠胃炎和菌血症。较少见的表现为肠外局灶性感染，包括尿路感染。一名10个月大的男童因复发性尿路感染入院接受抗生素治疗。从尿袋采集的尿液样本中分离出鼠伤寒沙门氏菌。该病菌也从包皮上拭子培养出来，但耻骨上尿液标本中未培养出该病菌。肾脏超声、静脉肾盂造影和排尿性膀胱尿道造影检查均正常。随后该患儿接受了包皮环切术，之后尿液中未分离出尿路病原体。据信，包皮环切术不仅预防了进一步的尿路感染，保护患儿不成为鼠伤寒沙门氏菌携带者，还阻止了沙门氏菌感染向普通公众的可能传播。
