Krebs Jörg, Göcking Konrad, Pannek Jürgen
J Spinal Cord Med. 2014 Jan;37(1):114-6. doi: 10.1179/2045772312Y.0000000089. Epub 2013 Nov 26.
Prostatitis is a very unusual manifestation of Salmonella urinary tract infection and has not been reported in men with spinal cord injury (SCI).
A 57-year-old man with paraplegia and a history of recurrent symptomatic urinary tract infections presented with Salmonella typhimurium prostatitis. Clinical and sonographic examination of the urinary tract, as well as urinalysis including microbiologic examination, revealed no relevant abnormalities. The microbiologic analysis of the ejaculate revealed growth of monophasic Salmonella enterica ssp. enterica serotype 4,12:i:-. A 6-week course of antibiotic treatment was initiated. There were no recurrent symptomatic urinary tract infections during follow-up.
Salmonellosis is a reportable disease and carriers have to refrain from activities in the food sector. Therefore, Salmonella prostatitis should be considered and excluded in men with SCI and a history of recurrent urinary tract infection who use intermittent catheterization for bladder management.
前列腺炎是沙门氏菌尿路感染的一种非常罕见的表现,在脊髓损伤(SCI)男性中尚未有报道。
一名57岁截瘫男性,有复发性症状性尿路感染病史,出现鼠伤寒沙门氏菌前列腺炎。对尿路进行临床和超声检查,以及包括微生物学检查在内的尿液分析,均未发现相关异常。精液的微生物学分析显示单相肠炎沙门氏菌亚种肠炎血清型4,12:i:-生长。开始了为期6周的抗生素治疗。随访期间未出现复发性症状性尿路感染。
沙门氏菌病是一种应报告的疾病,携带者必须避免从事食品行业的活动。因此,对于有SCI病史且使用间歇性导尿进行膀胱管理的复发性尿路感染男性,应考虑并排除沙门氏菌前列腺炎。