An Unusual Case of Acute Pyelonephritis Caused by Shigella dysenteri in a Child.
- Author:
Kyung Il OH
1
;
Sung Jin KIM
;
Joo Hee ZHANG
;
Yun Jung OH
;
Sung Kil KANG
;
Young Jin HONG
;
Byong Kwan SON
;
Ji Eun LEE
Author Information
1. Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea. anicca@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Acute pyelonephritis;
S. dysenteri;
Child
- MeSH:
Abdomen;
Administration, Intravenous;
Anti-Bacterial Agents;
Child*;
Chills;
Diarrhea;
Dysuria;
Female;
Fever;
Flank Pain;
Humans;
Pyelonephritis*;
Shigella*;
Tomography, X-Ray Computed;
Urinary Tract Infections;
Vomiting
- From:Journal of the Korean Society of Pediatric Nephrology
2006;10(2):244-248
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Shigella infection usually produces gastrointestinal symptoms but rarely causes urinary tract infection. A 7-year-old girl was admitted for fever, chills, right flank pain, and dysuria. She had no vomiting or diarrhea. There was mild tenderness in her right lower abdomen, and right CVA tenderness was also noted. Acute pyelonephritis was diagnosed by abdominal CT. She showed improvement with intravenous administration of antibiotics. The first urine culture grew 1 x 10(5) CFU/mL Shigella dysenteri. Although urinary tract infections due to Shigella species are extremely rare, Shigella species should be considered as a possible cause of pediatric urinary tract infection. We report the first case of urinary tract infection caused by S. dysenteri, which presented as acute pyelonephritis without gastrointestinal symptoms in a child.
