Salmonella sepsis and urinary tract infection complicating with acute kidney injury in a HIV positive female patient

Abstract

Urinary Tract Infection (UTI) can rarely be caused by salmonella species. UTI salmonellosis may present as uncomplicated UTI, pyelonephritis or haemorrhagic cystitis. We present a case of a 44-year-old HIV positive female who presented with frank haematuria, fever, dysuria and confusion. These were preceded by non-bloody diarrhea that had resolved on presentation. Blood and urine culture grew salmonella species. The course of the patient was complicated by acute kidney injury that required haemodialysis. Patient improved on a two-week course of antibiotics with subsequent negative blood and urine cultures. We emphasise the importance of prevention on exposure risk factors and close follow-up due to high risk of recurrence in special groups of patients.