Cases reported "Salmonella Infections"

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1/83. A patient with fever and an abdominal aortic aneurysm.

    A 55-year-old man with an abdominal aortic aneurysm presented with fever and abdominal pain 3 weeks after an episode of Salmonella gastroenteritis. His symptoms persisted despite antimicrobial therapy. Two abdominal computed tomography (CT) scans showed no evidence of aortitis. His abdominal pain worsened and further investigation including a third CT scan demonstrated a leaking aortic aneurysm. The wall of the aorta was shown to contain Gram-negative bacilli. This case illustrates the difficulty in diagnosing bacterial aortitis.
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keywords = enteritis
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2/83. Non-typhoid Salmonella subdural empyema in children: report of two cases.

    Subdural empyema caused by Salmonella in childhood is an uncommon condition. The predisposing factors for this condition are not clearly established, especially in young children. Here we present two cases of subdural empyema caused by non-typhoidal Salmonella. Both of the patients suffered prolonged fever without local signs of infection on admission. Subdural empyema was subsequently detected by brain echo and brain computerized tomography (CT) scan in both cases. cerebrospinal fluid (CSF) study was not done in case one due to prominent mass effect on brain CT; in case two the CSF analysis showed pleocytosis, but CSF bacterial culture was negative. Neither enteritis nor obvious meningeal sign was noted. Both cases responded well to surgical drainage and systemic antibiotics treatment.
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keywords = enteritis
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3/83. A case of acute pancreatitis complicating Salmonella enteritis.

    We report a case of acute pancreatitis complicating Salmonella enteritis. A 43-yr-old woman who was admitted to our department because of Salmonella enteritis developed clinical acute pancreatitis with laboratory and radiographic signs on the fourth hospital day. She was free from symptoms on the eighth hospital day, but her elevated serum amylase and lipase levels persisted for more than 2 m.o. In this case, clinical acute pancreatitis was a complication of bacterial enteritis caused by salmonella enteritidis, and it was characterized by onset a few days after the onset of enteritis and by sustained elevation of serum pancreatic enzyme levels.
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ranking = 8
keywords = enteritis
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4/83. Salmonella septic arthritis in a patient with acute idiopathic thrombocytopenic purpura treated with steroid.

    Salmonella has three clinical presentations: self-limiting gastroenteritis, a systemic syndrome (enteric or typhoid fever), and bacteremia with focal infection. Hematogenous infections can cause focal lesions, but unusual manifestations occur more often when predisposing factors such as T cell defect, hemolytic disorders (sickle cell disease, malaria) or trauma are present. Salmonella tend to invade bones and joints. There is no mention of acute idiopathic (immune) thrombocytopenic purpura as a predisposing factor for salmonella septic arthritis; however there are reports about the importance of platelets for the immune response. Here we present a case of salmonella enteritidis septic arthritis following acute idiopathic (immune) thrombocytopenic purpura in a 15-year-old female patient who has been on steroid therapy for the last two weeks.
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keywords = enteritis
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5/83. Salmonellosis in a human infant, a cat, and two parakeets in the same household.

    Salmonellosis occurred in a human infant, cat, and 2 pet parakeets in the same household. salmonella typhimurium var copenhagen was isolated from all 4 subjects; however, its original source was never determined. The parakeets subsequently died, and necropsy revealed enteritis, foci of hepatic necrosis, and leptomeningitis.
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keywords = enteritis
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6/83. Large bowel obstruction: an unusual presentation of salmonella enterocolitis in infancy.

    An infant with a large-bowel obstruction due to Salmonella B enterocolitis is presented. The clinical and radiologic findings were suggestive of Hirschsprung's disease with total colonic aganglionosis. Due to further deterioration, an ileostomy was performed. Pathologic examination disclosed ganglia in the colon. At laparatomy, 1 month later the colon, which was almost completely obliterated, was resected and an ileorectal anastomosis carried out. The patient remained a carrier of a multiple antibiotic-resistant group B Salmonella strain, and 2 months later died as a result of severe gastroenteritis.
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keywords = enteritis
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7/83. Possible asymptomatic carrier of salmonella typhimurium in the preputium: a case report.

    salmonella infections lead to several clinical syndromes such as acute gastroenteritis and bacteremia. Less frequent manifestations are extraintestinal focal infections, including urinary tract infections. A 10-month-old boy was admitted to the hospital with recurrent urinary tract infections treated with antibiotics. salmonella typhimurium was isolated from the urine samples obtained in urine bags. The organism was also grown from a suprapreputial swab, but was not grown in the suprapubic urine specimen. Renal ultrasonography, intravenous pyelography and voiding cystourethrogram were found normal. The patient was then circumcised, following with no uropathogens were isolated from the urine. It is believed that circumcision not only prevented further urinary tract infection and protected the case from becoming a carrier of salmonella typhimurium, it also halted a possible spread of Salmonella infection to the general public.
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keywords = enteritis
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8/83. myocarditis in a patient with salmonella and campylobacter enteritis.

    myocarditis associated with bacterial enteritis has only rarely been described and the pathogenesis is unclear. Herein we report a case where a young adult developed myocarditis during the acute stage of an infection with Salmonella heidelberg and campylobacter jejunii/coli. The patient's troponin i value was elevated. We suggest that use of cardiac-sensitive troponins may be a useful tool for diagnosis of acute myocarditis in the context of bacterial enteritis. We also suggest the need for further investigation of the pathogenesis of myocarditis associated with enteric pathogens.
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ranking = 6
keywords = enteritis
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9/83. Invasive Salmonella virchow infection in childhood.

    Salmonella virchow is generally considered to be one of the less invasive non-typhoidal Salmonellae species; however, several invasive cases have previously been reported. We report 3 cases of otherwise healthy children with S. virchow bacteraemia, monoarthritis and prevertebral abscess, only 1 of whom had previously had gastroenteritis. All 3 children responded to antibiotic regimens consisting of cefotaxime for 10 d, ceftriaxone for 3 weeks and ceftriaxone plus clindamycin for 4 weeks, respectively. In conclusion, S. virchow may be a more invasive serotype in immunocompetent children and present with a wider spectrum of manifestations than considered previously.
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ranking = 1
keywords = enteritis
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10/83. Salmonella infection-associated acute rhabdomyolysis. Some pathogenic considerations.

    rhabdomyolysis is a syndrome characterized by extended myolysis, elevation of serum aminotransferases and creatine kinase, and myoglobinuria. It is a rare but well-established complication of a spectrum of infectious diseases. salmonella infections have been connected with this syndrome as well. We present here the case of a 58-year-old female affected by Charcot-Marie-tooth (CMT) disease, a type of hereditary neuropathy, who presented with acute renal failure and rhabdomyolysis syndrome in the course of Salmonella infantis gastroenteritis. We formed some considerations on the pathogenesis of rhabdomyolysis in this specific setting based on certain experimental works on the Salmonella pathogenic cycle. We concluded that the calcium-dependent mechanism coupled with a predisposing factor might be of major significance in the development of this complication.
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ranking = 1
keywords = enteritis
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