Mokadem Seif, Nouioui Mohamed Ali, Kalai Salma, Taktak Tarek, Mediouni Houssem, Khiari Ramzi, Ghozzi Samir
Department of Urology, Military Hospital of First Instruction of Tunis, Tunisia.
Department of Microbiology, Military Hospital of First Instruction of Tunis, Tunisia.
Case Rep Urol. 2019 Sep 22;2019:4198275. doi: 10.1155/2019/4198275. eCollection 2019.
A 50-year-old man with no past medical history presented with 5 months history of right flank discomfort. Physical examination was unremarkable. CT-scan showed a large right renal pelvic calculi and upper pole hydronephrosis. He underwent open surgical procedure and we peroperatively discovered upper pole pyonephrosis. Bacteriological samples of pus grew group D Salmonella. We prescribed third generation cephalosporin for 14 days. The patient made a steady recovery. Non typhoidal salmonella (NTS) urinary tract infection (UTI) is extremely rare and usually associated with immunosuppressive chronic disease or genito urinary tract abnormalities. Pyonephrosis due to NTS have been reported twice. We report the first case of asymptomatic NTS pyonephrosis.
一名无既往病史的50岁男性，出现右侧胁腹不适5个月。体格检查无异常。CT扫描显示右侧肾盂有一大结石及上极肾积水。他接受了开放手术，术中我们发现上极积脓。脓液的细菌学样本培养出D组沙门氏菌。我们给予第三代头孢菌素治疗14天。患者恢复平稳。非伤寒沙门氏菌（NTS）尿路感染（UTI）极为罕见，通常与免疫抑制性慢性病或泌尿生殖道异常有关。NTS导致的积脓已有两次报道。我们报告首例无症状NTS积脓病例。
