J Korean Soc Pediatr Nephrol.  2006 Oct;10(2):244-248.

An Unusual Case of Acute Pyelonephritis Caused by Shigella dysenteri in a Child

• Oh KI
• Kim SJ
• Zhang JH
• Oh YJ
• Kang SK
• Hong YJ
• Son BK
• Lee JE

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.

Keyword

Acute pyelonephritis; S. dysenteri; Child

MeSH Terms

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
Anti-Bacterial Agents