Clinical Spectrum of Urinary Tract Infections Due to Nontyphoidal Salmonella Species

Abstract
We performed a retrospective analysis of 28 cases of bacteriuria due to nontyphoidal Salmonella (NTS). Twenty-onepatients (75%) had symptoms of urinary tract infection (16, cystitis; 3, pyelonephritis; and 2, renal abscess), and 7 remained asymptomatic. In 24 casesNTS was the sole pathogen isolated from urine. Salmonella enteritidis (a Salmonella subgroup 1 serotype)was the serotype most frequently isolated (16 cases), followed by Salmonella enteritidis serotype typhimurium (5 cases). Sixteenpatients (57%) wereseverely immunocompromised, and 14 (52%) had urologic abnormalities. Recurrence of bacteriuria occurred in four patients. It is suggested that in cases of urinary salmonellosisone must considerthe existenceof an occult urologicproblemor severeimmunosuppression.

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