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CASE REPORT
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 41-43

Salmonella enterica var. Typhi as an uncommon cause of perinephric abscess: A case report and review of literature


1 Department of Microbiology, Pondicherry Institute of Medical Sciences, Kalapet, Puducherry, India
2 Department of Urology, Pondicherry Institute of Medical Sciences, Kalapet, Puducherry, India

Correspondence Address:
K Sandhya Bhat
Department of Microbiology, Pondicherry Institute of Medical Sciences, Kalapet, Puducherry
India
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Source of Support: None, Conflict of Interest: None


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An adult male patient presented with a gradually worsening pain in the left-side of the loin region and on and off fever for 1-month duration. Per abdomen examination revealed fullness in the left renal angle with tenderness over the left lumbar region. His complete blood count showed a slight increase in white blood cell count. His computed tomogram (CT) scan abdomen showed left upper ureteric calculi with a hypoechoic lesion suggestive of a perinephric abscess. A percutaneous nephrostomy was done, and aspirated pus was sent for microbiological analysis, which yielded Salmonella Typhi, intermediate sensitive to ciprofloxacin and sensitive to ceftriaxone. The patient was treated with injection ceftriaxone for 10 days followed by tablet cefixime for another 2 weeks. Primary perinephric abscess due to Salmonella Typhi without any evidence of systemic involvement is rare. We report one such case, diagnosed by CT scan abdomen and culture treated successfully with a combination of surgical drainage and medical management.


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