Mathai E, John T J, Rani M, Mathai D, Chacko N, Nath V, Cherian A M
Department of Microbiology, Christian Medical College and Hospital, Vellore, India.
J Clin Microbiol. 1995 Jul;33(7):1791-2. doi: 10.1128/jcm.33.7.1791-1792.1995.
Bacteriuria due to Salmonella typhi usually occurs following recent typhoid fever or in chronic carrier states. Data from 18 patients with S. typhi bacteriuria, seen during 5 years, were analyzed. Fourteen patients had localized urinary tract infection due to S. typhi. Four others had bacteriuria, probably associated with typhoid fever. Localized abnormalities of the urinary tract and kidneys and also systemic diseases were found to predispose patients to S. typhi bacteriuria. Local abnormalities encountered included urolithiasis (n = 3), prostatic hypertrophy (n = 1), and tuberculosis (n = 1). One renal transplant recipient and another with lupus nephritis had S. typhi bacteriuria. One had associated strongyloidosis, and another was pregnant.
伤寒沙门菌引起的菌尿通常发生在近期伤寒热之后或慢性携带者状态。对5年内见到的18例伤寒沙门菌菌尿患者的数据进行了分析。14例患者因伤寒沙门菌发生了局限性尿路感染。另外4例有菌尿，可能与伤寒热有关。发现尿路和肾脏的局部异常以及全身性疾病使患者易患伤寒沙门菌菌尿。遇到的局部异常包括尿路结石（n = 3）、前列腺肥大（n = 1）和结核病（n = 1）。1例肾移植受者和另1例狼疮性肾炎患者有伤寒沙门菌菌尿。1例伴有类圆线虫病，另1例为孕妇。
