Ross S A, Townes P L, Hopkins T B
Clin Pediatr (Phila). 1986 Jun;25(6):325-6. doi: 10.1177/000992288602500609.
A previously healthy 2.5-year-old boy developed symptoms of acute pyelonephritis following an acute gastroenteritis. The patient received parenteral ampicillin and gentamicin for 72 hours and then ampicillin for an additional 11 days when the original urine and stool cultures grew Salmonella enteritidis, sensitive to ampicillin. The patient responded very well to treatment, but B-mode renal ultrasonogram revealed a left hydronephrosis and megaureter suggestive of longstanding obstruction of the ureterovesicular junction, later confirmed by other diagnostic studies and by surgical exploration and repair. Salmonella infection has been rarely documented to cause pyelonephritis in children. Obstructive uropathy appears to be a predisposing factor for this unusual complication of Salmonella enteritis.
一名既往健康的2.5岁男孩在患急性肠胃炎后出现急性肾盂肾炎症状。患者接受了72小时的胃肠外氨苄青霉素和庆大霉素治疗，之后又因最初的尿液和粪便培养物培养出对氨苄青霉素敏感的肠炎沙门氏菌，继续使用氨苄青霉素治疗了11天。患者对治疗反应良好，但B超肾脏超声检查显示左肾积水和巨输尿管，提示输尿管膀胱连接处长期梗阻，随后经其他诊断研究以及手术探查和修复得以证实。沙门氏菌感染导致儿童肾盂肾炎的情况鲜有记录。梗阻性尿路病似乎是肠炎沙门氏菌这种不寻常并发症的一个诱发因素。
