TY - JOUR
T1 - Retrograde pyelonephritis and lumbar spondylitis as a result of Salmonella typhi in a type 2 diabetes patient with neurogenic bladder
AU - Fukuda, Tatsuya
AU - Bouchi, Ryotaro
AU - Minami, Isao
AU - Ohara, Norihiko
AU - Nakano, Yujiro
AU - Nishitani, Rie
AU - Murakami, Masanori
AU - Takeuchi, Takato
AU - Akihisa, Momoko
AU - Fujita, Masamichi
AU - Izumiyama, Hajime
AU - Hashimoto, Koshi
AU - Yoshimoto, Takanobu
AU - Ogawa, Yoshihiro
N1 - Publisher Copyright:
© 2016 Asian Association for the Study of Diabetes and John Wiley & Sons Australia, Ltd.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - We present a case of a 62-year-old diabetic woman with acute pyelonephritis and spondylitis caused by Salmonella typhi. She was admitted to Tokyo Medical Dental University Hospital, Tokyo, Japan, because of unconsciousness and was diagnosed with sepsis by retrograde pyelonephritis as a result of Salmonella typhi. Antibiotics treatment was immediately started; however, she subsequently developed lumbar spondylitis, and long-term conservative treatment with antibiotics and a fixing device were required. This is the first report of a diabetic patient who developed retrograde urinary tract infection with Salmonella typhi, followed by sepsis and spondylitis. The infection could be a result of diabetic neuropathy, presenting neurogenic bladder and hydronephrosis. The patient was successfully treated with antibiotics and became asymptomatic with normal inflammatory marker levels, and no clinical sign of recurrence was observed in the kidney and spine at 4 months.
AB - We present a case of a 62-year-old diabetic woman with acute pyelonephritis and spondylitis caused by Salmonella typhi. She was admitted to Tokyo Medical Dental University Hospital, Tokyo, Japan, because of unconsciousness and was diagnosed with sepsis by retrograde pyelonephritis as a result of Salmonella typhi. Antibiotics treatment was immediately started; however, she subsequently developed lumbar spondylitis, and long-term conservative treatment with antibiotics and a fixing device were required. This is the first report of a diabetic patient who developed retrograde urinary tract infection with Salmonella typhi, followed by sepsis and spondylitis. The infection could be a result of diabetic neuropathy, presenting neurogenic bladder and hydronephrosis. The patient was successfully treated with antibiotics and became asymptomatic with normal inflammatory marker levels, and no clinical sign of recurrence was observed in the kidney and spine at 4 months.
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U2 - 10.1111/jdi.12375
DO - 10.1111/jdi.12375
M3 - Article
C2 - 27330732
AN - SCOPUS:84932173661
SN - 2040-1116
VL - 7
SP - 436
EP - 439
JO - Journal of Diabetes Investigation
JF - Journal of Diabetes Investigation
IS - 3
ER -
