Skip to main content
. 2021 May 31;8:2333794X211022263. doi: 10.1177/2333794X211022263

Table 3.

Characteristics and Management of Pediatric Patients with Salmonella Renal Abscesses.

Study Age (years)/sex Past medical history Important labs Salmonella serotype Sensitivity Source of isolate(s) Abscess size (cm) Antibiotic therapy Invasive intervention Outcome
Rus and Kersnik Levart 10 14/male None CRP (30 mg/L). ESR (74 mm/h). WBC (15.8 × 109/L). Blood urea nitrogen (44.9 mmol/L). Serum creatinine (425 µmol/L) S. Enteritidis [S] ampicillin, ceftriaxone, co-trimoxazole, ciprofloxacin Urine culture First scan – size not stated but imaging showed multiple renal abscesses. Second scan (during relapse) – multiple renal abscesses seen (largest 3.3 cm). First course: Intravenous ceftriaxone for 12 days, followed by oral co-trimoxazole for 9 days. 2nd course: Intravenous ceftriaxone for 4 weeks, followed by oral ciprofloxacin for 2 weeks. No Initially cured but had relapse 13 days after initial treatment. Developed arterial hypertension after 6-month follow-up
Kaur et al 11 10/male Congenital atrophy of left kidney WBC (16.5 × 109/L). Blood urea (11.8 mmol/L). Serum creatinine (61.9 µmol/L) S. Typhi [S] ceftriaxone, cefoperazone-sulbactam, co-trimoxazole, [R] ciprofloxacin Fluid culture 4.2 cm × 3.1 cm Intravenous cefoperazone-sulbactam 1 g TDS for 4 days, followed by 7 days of oral cefixime 200 mg BD. Aspiration Cure
D’Cruz et al 18 17/male None WBC (3.6 ×109/L) S. Paratyphi A [S] ceftriaxone, cefoperazone-sulbactam, ofloxacin, amikacin, gentamicin Fluid culture 2.5 × 2.6 cm Amikacin and ofloxacin for 2 weeks, followed by 2 weeks of ofloxacin monotherapy Aspiration Cure
Our case 10/female Nil CRP (62.5 mg/L). ESR (74 mm/h). WBC (18.23 × 109/L). Blood urea (3.1 mmol/L). Serum creatinine (23 µmol/L) Group C Salmonella (Salmonella serovar Oranienburg) [S] ampicillin, ceftriaxone, co-trimoxazole Fluid culture 4.2 × 4.0 × 3.1 cm Intravenous ceftriaxone 100 mg/kg/day for 2 weeks, followed by 4 weeks of oral co-trimoxazole (8 mg/kg/day of trimethoprim twice daily) Drainage Cure

[S], sensitive; [R], resistant.