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Urinary Tract Infections Due to Nontyphoidal Salmonella.

Abstract We sought to establish the characteristics of symptomatic nontyphoidal Salmonella (NTS) urinary tract infection (UTI) without concomitant gastroenteritis (GE) as a separate clinical entity.
PMID
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Authors

Mayor MeshTerms
Keywords

Salmonella

Salmonella gastroenteritis

Urinary tract infection

Urologic malignancy

Journal Title the american journal of the medical sciences
Publication Year Start




PMID- 28641715
OWN - NLM
STAT- MEDLINE
DA  - 20170623
DCOM- 20170628
LR  - 20170628
IS  - 1538-2990 (Electronic)
IS  - 0002-9629 (Linking)
VI  - 353
IP  - 6
DP  - 2017 Jun
TI  - Urinary Tract Infections Due to Nontyphoidal Salmonella.
PG  - 529-532
LID - S0002-9629(17)30135-0 [pii]
LID - 10.1016/j.amjms.2017.03.010 [doi]
AB  - BACKGROUND: We sought to establish the characteristics of symptomatic
      nontyphoidal Salmonella (NTS) urinary tract infection (UTI) without concomitant
      gastroenteritis (GE) as a separate clinical entity. MATERIALS AND METHODS: We
      conducted a retrospective cohort single-center study and reviewed all cases of
      NTS bacteriuria between 1995 and 2016. Patients were assigned to a group
      according to their clinical presentation, namely, symptomatic NTS UTI without GE,
      GE with NTS bacteriuria or isolated asymptomatic NTS bacteriuria. We compared the
      characteristics of patients in the NTS UTI group to those of the latter 2 groups.
      RESULTS: NTS bacteriuria was found in 77 patients, of which 61 had records
      available for review. Twenty-one patients (including 17 adults) presented with
      NTS UTI, 30 patients presented with features of GE with NTS bacteriuria and 10
      patients had asymptomatic NTS bacteriuria. NTS UTI was not significantly
      associated with older age, male sex, diabetes, immunosuppressive states or
      urologic abnormalities. There was a significant difference in the proportion of
      patients with an underlying urologic malignancy in the NTS UTI group (4 of 17
      patients [23.5%]) as compared to those in the other groups (0 of 24 patients), P 
      = 0.023. CONCLUSIONS: A unique group of patients with symptomatic NTS UTI without
      GE was identified. A significant association with urologic malignancies was
      demonstrated in patients with NTS UTI compared to those with GE and NTS
      bacteriuria or asymptomatic NTS bacteriuria.
CI  - Copyright (c) 2017 Southern Society for Clinical Investigation. Published by
      Elsevier Inc. All rights reserved.
FAU - Gorelik, Yuri
AU  - Gorelik Y
AD  - Division of Internal Medicine, Rambam Health Care Campus, Haifa, Israel.
      Electronic address: [email protected]
FAU - Paul, Mical
AU  - Paul M
AD  - Division of Infectious Diseases, Rambam Health Care Campus, Haifa, Israel; The
      Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of
      Technology, Haifa, Israel.
FAU - Geffen, Yuval
AU  - Geffen Y
AD  - Microbiology Laboratory, Rambam Health Care Campus, Haifa, Israel.
FAU - Khamaisi, Mogher
AU  - Khamaisi M
AD  - Division of Internal Medicine, Rambam Health Care Campus, Haifa, Israel;
      Institute of Endocrinology, Diabetes & Metabolism, Rambam Health Care Campus,
      Haifa, Israel; The Ruth and Bruce Rappaport Faculty of Medicine, Technion -
      Israel Institute of Technology, Haifa, Israel.
LA  - eng
PT  - Journal Article
DEP - 20170306
PL  - United States
TA  - Am J Med Sci
JT  - The American journal of the medical sciences
JID - 0370506
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Bacteriuria/microbiology/*urine
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Salmonella/classification/*isolation & purification
MH  - Salmonella Infections/microbiology/*urine
OTO - NOTNLM
OT  - Salmonella
OT  - Salmonella gastroenteritis
OT  - Urinary tract infection
OT  - Urologic malignancy
EDAT- 2017/06/24 06:00
MHDA- 2017/06/29 06:00
CRDT- 2017/06/24 06:00
PHST- 2016/12/16 [received]
PHST- 2017/03/02 [revised]
PHST- 2017/03/03 [accepted]
AID - S0002-9629(17)30135-0 [pii]
AID - 10.1016/j.amjms.2017.03.010 [doi]
PST - ppublish
SO  - Am J Med Sci. 2017 Jun;353(6):529-532. doi: 10.1016/j.amjms.2017.03.010. Epub
      2017 Mar 6.