RESUMEN
Salmonella species is a rare cause of infection in the respiratory tract. Pleuropulmonary infection with these organisms are however associated with high mortality. We report a case where serotype Worthington was isolated from a patient of acute pneumonia.
Asunto(s)
Anciano , Humanos , Masculino , Neumonía Bacteriana/microbiología , Salmonella/aislamiento & purificación , Infecciones por Salmonella/microbiología , SerotipificaciónRESUMEN
A four-year old child was admitted with signs and symptoms suggestive of enteric fever. Blood culture and serial stool cultures were undertaken. Weltevreden, a rare Salmonella serotype was isolated from the stool samples. The isolate was sensitive to ampicillin, cefotaxime, gentamicin, chloramphenicol and ciprofloxacin.
Asunto(s)
Antibacterianos/uso terapéutico , Sangre/microbiología , Preescolar , Heces/microbiología , Humanos , Técnicas de Laboratorio Clínico , Masculino , Salmonella/aislamiento & purificación , Fiebre Tifoidea/diagnósticoRESUMEN
Splenic abscesses are caused by Staphylococcus aureus, Streptococcus and bacteria belonging to the family Enterobacteriaceae. We report a case of splenic abscess caused by an unusual serotype of Salmonella. A 55 year old man was admitted with complaints of fever and abdominal pain. On the basis of clinical findings and laboratory reports, a diagnosis of chronic myeloid leukemia was made. Ultrasonography of the abdomen revealed a single large cystic lesion in the spleen. Percutaneous drainage of the abscess was carried out. Salmonella enterica serotype Worthington was isolated from a pus sample taken from the abscess. The isolate was resistant to ampicillin, gentamicin, cefotaxime, chloramphenicol and tetracycline, and sensitive to amikacin and norfloxacin. Serotype Worthington is an emerging pathogen. This is the first report of isolation of this serotype from a splenic abscess. In seriously ill patients, such infections should be treated with a combination of antibiotics to circumvent problems with multidrug resistance.
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Absceso , Bazo/patología , Infecciones por Salmonella/complicaciones , Infecciones por Salmonella/microbiología , Leucemia Mielógena Crónica BCR-ABL Positiva/complicaciones , Salmonella enterica , Absceso , Amicacina , Antibacterianos , Antiinfecciosos , Bazo/microbiología , Infecciones por Salmonella/tratamiento farmacológico , Leucemia Mielógena Crónica BCR-ABL Positiva/microbiología , Norfloxacino , Farmacorresistencia Bacteriana MúltipleAsunto(s)
Antibacterianos/administración & dosificación , Bacteriemia/diagnóstico , Resistencia a Múltiples Medicamentos , Estudios de Seguimiento , Humanos , Recién Nacido , Unidades de Cuidado Intensivo Neonatal , Masculino , Meningitis Bacterianas/diagnóstico , Pruebas de Sensibilidad Microbiana , Infecciones por Salmonella/diagnóstico , Salmonella enterica/clasificación , Serotipificación , Resultado del TratamientoRESUMEN
Salmonellae are a rare cause of infective endocarditis. We report a case in which Salmonella enterica serotype Worthington was isolated from a case of endocarditis. The isolate was resistant to ampicillin, gentamicin, amikacin and chloramphenicol and sensitive to ciprofloxacin and cefotaxime.