Pyonephrosis caused by Salmonella sp. in a patient with polycystic kidney disease undergoing hemodialysis

Authors

  • Roberta Filipini Rampelotto Doutorado no Programa de Pós-Graduação em Ciências Farmacêuticas (PPGCF) na Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brasil.
  • Talita Bertazzo UFSM, Santa Maria, Rio Grande do Sul, Brasil.
  • Guilherme Lopes Weis Funcionário do Setor de Radiologia do Hospital Universitário de Santa Maria (HUSM), Santa Maria, Rio Grande do Sul, Brasil.
  • Paulo Roberto de Jesus HUSM
  • Mariane Vargas UFSM
  • Betina Meneghetti HUSM
  • Nara Lucia Dal Forno
  • Adenilde Sala HUSM
  • Rosmari Hörner UFSM

DOI:

https://doi.org/10.15448/1980-6108.2017.2.26565

Keywords:

Salmonella infections, hydronephrosis, pyonephrosis.

Abstract

*** Pyonephrosis caused by Salmonella sp. in a patient with polycystic kidney disease undergoing hemodialysis ***

AIMS: This article reports a case of pyonephrosis caused by Salmonella sp. in a patient with polycystic kidney disease undergoing hemodialysis treatment.

CASE DESCRIPTION: An elderly male patient previously diagnosed with polycystic kidney disease undergoing standard hemodyalitic treatment presented uronephrosis, evolving to pyonephrosis caused by Salmonella sp., and was successfully treated with ciprofloxacin.

CONCLUSIONS: The polycystic kidney disease may have contributed to the bacteria’s attachment to the kidney, due to increase of permeability of the intestinal mucosa, easier bacterial translocation to bloodstream and its subsequent accommodation in the infected organ.

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Author Biographies

Roberta Filipini Rampelotto, Doutorado no Programa de Pós-Graduação em Ciências Farmacêuticas (PPGCF) na Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brasil.

Farmacêutica, Mestre em Ciências Farmacêuticas, Estudante de Doutorado no Programa de Pós-Graduação em Ciências Farmacêuticas (PPGCF) na Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brasil.

Talita Bertazzo, UFSM, Santa Maria, Rio Grande do Sul, Brasil.

Acadêmica do Curso de Farmácia da UFSM, Santa Maria, Rio Grande do Sul, Brasil.

Guilherme Lopes Weis, Funcionário do Setor de Radiologia do Hospital Universitário de Santa Maria (HUSM), Santa Maria, Rio Grande do Sul, Brasil.

Bacharel em Física, coautor; Mestre em Engenharia de Produção pela UFSM, Funcionário do Setor de Radiologia do Hospital Universitário de Santa Maria (HUSM), Santa Maria, Rio Grande do Sul, Brasil.

Paulo Roberto de Jesus, HUSM

Médico do Setor de Radiologia do HUSM, Santa Maria, Rio Grande do Sul, Brasil.

Mariane Vargas, UFSM

Acadêmica do Curso de Farmácia da UFSM, Santa Maria, Rio Grande do Sul, Brasil.

Betina Meneghetti, HUSM

Farmacêutica, Funcionária do Laboratório de Análises Clínicas do HUSM, Santa Maria, Rio Grande do Sul, Brasil.

Nara Lucia Dal Forno

Farmacêutica, Funcionária do Laboratório de Análises Clínicas do HUSM, Santa Maria, Rio Grande do Sul, Brasil.

Adenilde Sala, HUSM

Farmacêutica, Funcionária do Laboratório de Análises Clínicas do HUSM, Santa Maria, Rio Grande do Sul, Brasil.

Rosmari Hörner, UFSM

Farmacêutica, Doutora em Química pela Universidade Federal de Santa Catarina (UFSC), Professora Adjunta da UFSM, Rio Grande do Sul, Brasil.

References

Feasey NA, Dougan G, Kingsley RA, Heyderman RS, Gordon MA. Invasive non-typhoidal Salmonella disease: An emerging and neglected tropical disease in Africa. Lancet. 2012 Jun 30;379(9835):2489-99. https://doi.org/10.1016/S0140-6736(11)61752-2

Sood S. Breast Abscess by Salmonella Paratyphi A: Case Report and Literature Review. J Clin Diagn Res. 2015 Sep;9(9):DD03-4. https://doi.org/10.7860/jcdr/2015/15083.6539

Kaur A, Sarma S, Kumar N, Sengupta S. Renal Abscess Caused by Salmonella Typhi. J Lab Physicians. 2015 Jul-Dec;7(2):121-3. https://doi.org/10.4103/0974-2727.163132

Al-Qaoud T, Al-Terki A. A 42 Year Old Female with Pyonephrosis and Multiple Subcapsular Abscesses: Saving a Threatened Kidney. Clin Exp Med Sci. 2013;1(2):83-96. https://doi.org/10.12988/cems.2013.13008

Flukes S, Hayne D, Kuan M, Wallace M, McMillan K, Rukin NJ. Retrograde ureteric stent insertion in the management of infected obstructed kidneys. BJU Int. 2015 Apr;115 Suppl 5:31-4. https://doi.org/10.1111/bju.12918

Dandekar T, Fieselmann A, Fischer E, Popp J, Hensel M, Noster J. Salmonella-how a metabolic generalist adopts an intracellular lifestyle during infection. Front Cell Infect Microbiol. 2015 Jan 29;4:191. https://doi.org/10.3389/fcimb.2014.00191

Sudhaharan S, Padmaja K, Solanki R, Lakshmi V, Umabala P, Aparna B. Extra-intestinal Salmonellosis in a tertiary care hospital in South India. J Infect Dev Ctries. 2014 Jul 14;8(7):831-7. https://doi.org/10.3855/jidc.3731

Sabanis N, Paschou E, Gavriilaki E, Mourounoglou M, Vasileiou S. Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis. Case Rep Nephrol. 2015;2015:982575. https://doi.org/10.1155/2015/982575

Kaussen T, Srinivasan PK, Afify M, Herweg C, Tolba R, Conze J, Schachtrupp A. Influence of two different levels of intra-abdominal hypertension on bacterial translocation in a porcine model. Ann Intensive Care. 2012 Jul 5;2 Suppl 1:S17. https://doi.org/10.1186/2110-5820-2-S1-S17

Cheng J, Wei Z, Liu X, Li X, Yuan Z, Zheng J, Chen X, Xiao G, Li X. The role of intestinal mucosa injury induced by intra-abdominal hypertension in the development of abdominal compartment syndrome and multiple organ dysfunction syndrome. Crit Care. 2013 Dec 9;17(6):R283. https://doi.org/10.1186/cc13146

Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Fifth Informational Supplement. CLSI document M100-S25. Wayne PA: Clinical and Laboratory Standards Institute; 2015 [cited 2016 Aug 15]. Available from: http://shop.clsi.org/site/Sample_pdf/M100S25_sample.pdf

Tang HJ, Chao CM. Nontyphoidal Salmonella urinary tract infection among elderly patients. J Microbiol Immunol Infect. 2016 Feb;49(1):157-8. https://doi.org/10.1016/j.jmii.2015.03.006

Tsuchiya Y, Ubara Y, Suwabe T, Hoshino J, Sumida K, Hiramatsu R, Hasegawa E, Yamanouchi M, Hayami N, Marui Y, Sawa N, Takemoto F, Takaichi K. The renal cyst infection caused by Salmonella enteritidis in a patient with autosomal dominant polycystic kidney disease: how did this pathogen come into the renal cysts? Clin Exp Nephrol. 2011 Feb;15(1):151-3. https://doi.org/10.1007/s10157-010-0364-2

Published

2017-05-30

How to Cite

Rampelotto, R. F., Bertazzo, T., Weis, G. L., de Jesus, P. R., Vargas, M., Meneghetti, B., … Hörner, R. (2017). Pyonephrosis caused by Salmonella sp. in a patient with polycystic kidney disease undergoing hemodialysis. Scientia Medica, 27(2), ID26565. https://doi.org/10.15448/1980-6108.2017.2.26565

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Section

Case Reports

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