Jacobs Journal of Internal Medicine

An Unusual Case of Salmonella UTI in a Male Teen

*Yuan Liu
Department Of Medicine, Mayo Clinic, Jacksonville, United States

*Corresponding Author:
Yuan Liu
Department Of Medicine, Mayo Clinic, Jacksonville, United States
Email:asydarka@gmail.com

Published on: 2017-07-31

Abstract

Nontyphoid Salmonella (NTS) is the leading bacterial cause of gastrointestinal infection globally and in the US. More than 90% of NTS infections are foodborne. NTS mostly causes acute self-limited colitis; bacteremia may develop in hosts with predisposing factors or with certain invasive serovars; focal disease may ensue due to immunosuppression and/or structural defects. Hydration is usually sufficient for colitis. Antibiotics are reserved for those who are immunocompromised, bacteremic, or at risk for severe focal disease. We will share an unusual case of NTS urinary tract infection in an apparently healthy male teen, and our reflections on the universal, diverse, and potentially fatal NTS infection.

Keywords

Introduction

Salmonella is divided into 2 broad categories based on disease spectrum: typhoid and nontyphoid (Table.1). Nontyphoid Salmonella (NTS) refers to all 2500+ Salmonella serovars (Box.1) except for the 4 typhoid senovars: S. Typhi, S. Paratyphi A, B and C, that cause enteric fever and chronic carrier state. NTS is the most common bacterial cause of gastrointestinal infections globally and in the U.S. [1]. NTS has a vast reservoir in nature. More than 90% of NTS infections are foodborne; another 3~5% are from contacts with exotic pets, e.g. turtles, lizards, hedgehogs etc.; human to human transmission is rare.