Pyonephrosis caused by Salmonella Typhi: A case report - Abstract

Introduction: Salmonella is a rare cause of urinary tract infections.

We report here a unique case of pyonephrosis due to Salmonella Typhi (S. Typhi) complication, a stone-related obstructive pyelonephritis.

Case Report: A 47-year-old man, without any history of typhoid fever or gastrointestinal symptoms, presented with a pyonephrosis and life-threatening bacteremia following an acute obstructive right pyelonephritis caused by S. Typhi. The patient was treated by urinary drainage (ureteral stent), antibiotics, and delayed right nephrectomy. We postulated that urolithiasis could explain asymptomatic chronic urinary carriage of S. Typhi.

Conclusion: S. Typhi is one possible cause of life-threatening urinary tract infection, especially in the context of urolithiasis.

Written by:
Batista da Costa J, Cornu JN, Levgraverend D, Cordel H, Ridel C, Letendre J, Traxer O, Tligui M, Haab F.   Are you the author?
Department of Urology, Tenon Hospital, Hôpitaux Universitaires Paris-Est, Assistance Publique-Hôpitaux de Paris, Paris, France.

Reference: Urol Int. 2014 Aug 8. Epub ahead of print.
doi: 10.1159/000360741

PubMed Abstract
PMID: 25115408 Infections Section