Sexually acquired Salmonella Typhi urinary tract infection

Abstract

We report a case of isolated urinary Salmonella enterica serotype Typhi in an HIV-positive man who has sex with men. He was clinically well and blood and stool cultures were negative, indicating that this may have been a sexually acquired urinary tract infection.

Chronic urinary carrier state due to Salmonella Typhi causing urinary tract infection in an immunocompetent healthy woman

“…5,11 Other conditions predisposing to Salmonella bacteriuria include strongyloidosis, structural abnormalities, systemic lupus erythematosus, immunocompromised status and anal-penetrating intercourse. 5,6 Where T-cell function is deficient, the eradication of Salmonella from within the reticuloendothelial system is limited. 12,13 Effective treatment of typhoid has become more difficult with the spread of multi-drug resistant (MDR) strains 9 and this increases during the carrier state.…”

“…2,4 In the human body, Schistosoma species live in the venous plexus and may migrate to atypical sites, where they trigger an intense inflammatory reaction that may be thought neoplastic. 5,6 We report a case…”

“…4 Patients with S. Typhi bacteriuria who are immunocompetent with no structural urinary abnormality are rare, but may be homosexual. 5,6 Case report A 50-year-old woman presented with a history of fever, oliguria, increased urinary frequency and lower abdominal pain for one week. Her fever was intermittent, high grade, without diurnal variation, and not associated with chills, back pain, haematuria or loose stools.…”

“…4 Patients with S. Typhi bacteriuria who are immunocompetent with no structural urinary abnormality are rare, but may be homosexual. 5,6…”