A case of acute hemorrhagic cystitis caused by salmonella paratyphi a in a pediatric patient Pediatrik bir hastada salmonella paratyphi a'nin neden olduǧu bir akut hemorajik sistit olgusu


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Yula E., Deveci O., Toka-Ozer T., Tekin A., Inci M., KARAKUŞ A.

Turk Hijyen ve Deneysel Biyoloji Dergisi, cilt.69, sa.3, ss.163-168, 2012 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 69 Sayı: 3
  • Basım Tarihi: 2012
  • Doi Numarası: 10.5505/turkhijyen.2012.17894
  • Dergi Adı: Turk Hijyen ve Deneysel Biyoloji Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.163-168
  • Anahtar Kelimeler: Hemorrhagic cystitis, Salmonella paratyphi A, Urinary tract infection
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

It is a very rare medical condition that Urinary tract infection (UTI) caused by Salmonella species. Seven-year-old boy admitted to our hospital with complaint of lower abdominal pain, burning and pain during urination (dysuria), nausea and increased fever. The patient had normal vital signs but abdominal examination revealed bilateral suprapubic tenderness. In the laboratory, it was found the amount of hemoglobin 12.9 g/dL, red blood cell count 4.8 million/mm3, white blood cell count 11.800/mm3, platelet count 275.000/mm3, level of C-reactive protein 30.2 mg/L, serologically S. paratyphi A "O" antibody (1/160) and S. paratyphi A "H" antibody (1/320) positivity. Urine examination showed gross hematuria and leukocyte esterase was positive. Urine culture was performed and isolate obtained urine culture was identified with conventional methods. Result of urine culture was reported as Salmonella species and isolate was determined as Salmonella paratyphi A by using anti-sera during the advanced identification. Results of radiological imaging were found normal. The patient was diagnosed as acute hemorrhagic cystitis caused by S. paratyphi A and received ceftriaxone treatment for seven days and had a full recovery. We conclude that in case of acute hemorrhagic cystitis, S. paratyphi A should be considered as causative agent in endemic areas.