一例由贝氏沙门菌引起的既往健康男孩肾脓肿。
A case of a renal abscess caused by Salmonella bareilly in a previously healthy boy.
机构信息
Department of Paediatrics, National Hospital Organization Mie Chuo Medical Centre, 2158-5, Myojincho Hisai, Tsu, Mie, Japan.
Clinical Research Institute, National Hospital Organization Mie Chuo Medical Centre, 2158-5, Myojincho Hisai, Tsu, Mie, Japan.
出版信息
BMC Infect Dis. 2022 Mar 10;22(1):241. doi: 10.1186/s12879-022-07229-1.
BACKGROUND
Renal abscesses are relatively uncommon in children, and usually due to Gram-negative rods or Staphylococcus aureus, whereas abscesses caused by Salmonella are very rare.
CASE PRESENTATION
We present the case of a previously healthy 10-year-old boy who had a renal abscess due to Salmonella bareilly. He responded well to treatment with antibiotics, and computed tomography (CT)-guided drainage of the abscess. His blood, urine and abscess aspirate cultures were sterile, but a broad-range 16S rDNA polymerase chain reaction (PCR) assay of the aspirate followed by analysis of four Salmonella genes (fliC, fliD, sopE2, and spaO) identified S. bareilly as the causative agent.
CONCLUSION
To the best of our knowledge, this is the first report of renal abscess caused by S. bareilly.
背景
肾脓肿在儿童中相对少见，通常由革兰氏阴性杆菌或金黄色葡萄球菌引起，而由沙门氏菌引起的脓肿则非常罕见。
病例介绍
我们报告了一例先前健康的 10 岁男孩，他因巴尔利埃沙门氏菌而患有肾脓肿。他对抗生素治疗和 CT 引导下脓肿引流反应良好。他的血液、尿液和脓肿吸出物培养均无菌，但对吸出物进行广谱 16S rDNA 聚合酶链反应（PCR）检测，然后分析四个沙门氏菌基因（fliC、fliD、sopE2 和 spaO），鉴定出巴尔利埃沙门氏菌为病原体。
结论
据我们所知，这是首例由巴尔利埃沙门氏菌引起的肾脓肿报告。
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