| Acute infectious purpura fulminans is reported in a 16-month-old male with a history of posttraumatic asplenia and complete left brachial plexus palsy. This patient developed peripheral necrosis of both lower extremities and the right upper extremity, whereas the left upper extremity was completely spared from ischemia and tissue damage. amputation of four digits on the right hand and debridement of both lower extremities were required. This patient demonstrated the protective effect of a traumatic sympathectomy, which suggests the requirement of an intact sympathetic reflex in the development of purpura fulminans. ( info) |
2/21. A case of retroperitoneal abscess caused by Salmonella Oranienburg. The authors report a case of retroperitoneal abscess caused by Salmonella Oranienburg in an 8-year-old girl. This was one case in an epidemic of food poisoning from Salmonella Oranienburg or Salmonella Chester transmitted by many kinds of contaminated dried squid products. This is the first reported case of a retroperitoneal abscess by Salmonella Oranienburg. ( info) |
3/21. An outbreak of salmonellosis following consumption of monkey meat. An outbreak of salmonellosis due to consumption of monkey meat is reported among nine patients of whom one died. S. enteritidis phage type 8 was cultured from the stools of four patients. The spread of salmonellosis due to the consumption of monkey meat has not been reported before. ( info) |
4/21. Long-term post-Salmonella reactive arthritis due to Salmonella Blockley. We describe the case of a patient who became ill with Salmonella Blockley food poisoning while working in cyprus in August 1994. As his diarrhoea resolved he began to suffer from lower limb joint pains which were diagnosed as acute salmonella reactive arthritis. His condition deteriorated, then improved somewhat over a period of 2 years, but he continued to suffer symptoms over 5 years after infection. This case predates other reported cases of S. Blockley infection in cyprus by 4 years. S. Blockley is associated with chickens, and the chicken meal is the probable source of his infection. This case is of interest since it demonstrates the emergence of the serovar outside South East asia where it is common, and shows that information on the incidence and duration of reactive arthritis caused by serovars other than S. Enteritidis and S. Typhimurium is limited. ( info) |
5/21. food poisoning--four unusual episodes. Four unusual outbreaks of food poisoning occurring in the Dunedin Health District during the period 1971-1973 are described. These involved a contaminated cordial, a death associated with a clostridium perfringens outbreak, salmonellosis and infectious hepatitis in persons eating uncooked shellfish and symptoms associated with the ingestion of a normally edible fish--the trumpeter. ( info) |
6/21. Human infection with Salmonella dublin. Twenty-seven cases of human infection with Salmonella dublin were identified over a 12-year period at the University of california at San Diego-affiliated hospitals. Important epidemiologic risk factors were the ingestion of unpasteurized dairy products or treatment with nutritional therapy that included raw calf-liver extracts. Nearly all patients had underlying chronic diseases. Like Salmonella choleraesuis, S. dublin infections were associated with a high incidence of bacteremia (91%), metastatic sites of infection (30%), and mortality (26%) relative to other non-typhoidal Salmonellae. This pattern of disease expression may be related to a plasmid-encoded virulence factor common to both of these organisms. ( info) |
| We report a case of systemic infection with Salmonella virchow in a 21-year-old male who subsequently developed acalculous cholecystitis. His symptoms and signs-resolved with parenteral antibiotics, as did the ultrasonographic findings in the gall bladder. To our knowledge, this is the first reported case of acalculous cholecystitis due to this serotype. ( info) |
8/21. Disseminated Salmonella arizona infection associated with rattlesnake meat ingestion. Salmonella arizona is an uncommon enteric pathogen. We report a case of a woman with systemic lupus erythematosus, receiving prednisone therapy, who developed fatal disseminated S. arizona infection after ingesting raw dried rattlesnake meat as a form of treatment for her illness. S. arizona was isolated from stool, blood, peritoneal fluid, and cerebrospinal fluid. The importance of being aware of the Mexican-American folk remedy involving the ingestion of rattlesnake meat in the forms of dried snake, snake powder, or snake powder capsules, and the risk of acquiring S. arizona enteric infections is discussed. ( info) |
| Thirty six patients were admitted to hospital as a result of Salmonella virchow infection during an outbreak of food poisoning in Essex in 1984. Out of 12 patients with evidence of bloodstream invasion, one third presented primarily with meningism and attention is drawn to this unusual clinical picture. ( info) |
10/21. An outbreak of multiple-drug-resistant Salmonella enteritis from raw milk. In early 1983, an outbreak of illness caused by raw milk contaminated with multiple-antimicrobial-resistant salmonella typhimurium occurred in arizona. One of the cases involved a 72-year-old woman who died with Salmonella enteritis and sepsis that had not responded to treatment with chloramphenicol. The S typhimurium isolates from this patient, from other ill persons, and from raw milk were resistant to ampicillin, chloramphenicol, kanamycin sulfate, streptomycin, sulfonamide, and tetracycline. These resistances were mediated by a 105-megadalton R plasmid. During the epidemic period, 43% of the S typhimurium isolates submitted to the arizona Department of health services were resistant to chloramphenicol, and 80% of these possessed the same plasmid resistance. Although there was evidence of spread of the S typhimurium in the community, there was no evidence of spread of this Salmonella R plasmid to the normal flora of patients or their family members a median of 14 weeks after the infection. This outbreak demonstrates the ability of drug-resistant Salmonella to spread from the animal to the human reservoir and, in a suitable host, produce a fatal infection. ( info) |