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A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult

Renal abscesses are uncommon in adults and are typically caused by gram-negative bacteria such as Escherichia coli, Proteus mirabilis, or Staphylococcus aureus. Nontyphoid Salmonella abscesses are infrequent. We discuss the case of a 27-year-old previously healthy female who developed a renal absces...

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Autores principales: Didbaridze, Tamar, Kochiashvili, Giorgi, Kochiashvili, Davit, Tortladze, Irakli, Oniani, Mariam, Zaalishvili, Zurabi, Maziashvili, Giorgi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10068583/
https://www.ncbi.nlm.nih.gov/pubmed/37020490
http://dx.doi.org/10.7759/cureus.35749
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author Didbaridze, Tamar
Kochiashvili, Giorgi
Kochiashvili, Davit
Tortladze, Irakli
Oniani, Mariam
Zaalishvili, Zurabi
Maziashvili, Giorgi
author_facet Didbaridze, Tamar
Kochiashvili, Giorgi
Kochiashvili, Davit
Tortladze, Irakli
Oniani, Mariam
Zaalishvili, Zurabi
Maziashvili, Giorgi
author_sort Didbaridze, Tamar
collection PubMed
description Renal abscesses are uncommon in adults and are typically caused by gram-negative bacteria such as Escherichia coli, Proteus mirabilis, or Staphylococcus aureus. Nontyphoid Salmonella abscesses are infrequent. We discuss the case of a 27-year-old previously healthy female who developed a renal abscess due to Salmonella enterica. Abdominal computed tomography (CT) revealed a left renal abscess (size 11.6 cm × 8.2 cm) and 1.9 cm cyst in the right kidney. The urine and abscess aspirate cultures indicated the presence of gram-negative bacilli and lactose-negative Salmonella. A presumptive diagnosis of the left renal abscess was made. A urologist was consulted, and the patient was prepared for a left-sided nephrectomy. The patient's condition improved following treatment with a combination of piperacillin/tazobactam and moxifloxacin. Based on our experience, prompt recognition of nontyphoidal Salmonella as a potential cause of a renal abscess is important to prevent complications such as the extension of the abscess and the spread of the pathogen to adjacent structures.
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spelling pubmed-100685832023-04-04 A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult Didbaridze, Tamar Kochiashvili, Giorgi Kochiashvili, Davit Tortladze, Irakli Oniani, Mariam Zaalishvili, Zurabi Maziashvili, Giorgi Cureus Urology Renal abscesses are uncommon in adults and are typically caused by gram-negative bacteria such as Escherichia coli, Proteus mirabilis, or Staphylococcus aureus. Nontyphoid Salmonella abscesses are infrequent. We discuss the case of a 27-year-old previously healthy female who developed a renal abscess due to Salmonella enterica. Abdominal computed tomography (CT) revealed a left renal abscess (size 11.6 cm × 8.2 cm) and 1.9 cm cyst in the right kidney. The urine and abscess aspirate cultures indicated the presence of gram-negative bacilli and lactose-negative Salmonella. A presumptive diagnosis of the left renal abscess was made. A urologist was consulted, and the patient was prepared for a left-sided nephrectomy. The patient's condition improved following treatment with a combination of piperacillin/tazobactam and moxifloxacin. Based on our experience, prompt recognition of nontyphoidal Salmonella as a potential cause of a renal abscess is important to prevent complications such as the extension of the abscess and the spread of the pathogen to adjacent structures. Cureus 2023-03-04 /pmc/articles/PMC10068583/ /pubmed/37020490 http://dx.doi.org/10.7759/cureus.35749 Text en Copyright © 2023, Didbaridze et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Urology
Didbaridze, Tamar
Kochiashvili, Giorgi
Kochiashvili, Davit
Tortladze, Irakli
Oniani, Mariam
Zaalishvili, Zurabi
Maziashvili, Giorgi
A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult
title A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult
title_full A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult
title_fullStr A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult
title_full_unstemmed A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult
title_short A Renal Abscess Caused by Nontyphoid Salmonella in an Immunocompetent Adult
title_sort renal abscess caused by nontyphoid salmonella in an immunocompetent adult
topic Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10068583/
https://www.ncbi.nlm.nih.gov/pubmed/37020490
http://dx.doi.org/10.7759/cureus.35749
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