Cases reported "Salmonella Infections"

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1/126. brain abscess caused by salmonella enteritidis in an immunocompetent adult patient: successful treatment with cefotaxime and ciprofloxacin.

    A previously healthy 43-y-old man, who had spent 2 weeks in northern india, was admitted to hospital after a 2-day history of pyrexia, confusion and frontal headache. Cranial computerized tomography (CT) showed an abscess in the right parietal lobe. Spinal fluid and blood cultures gave growth of salmonella enteritidis within 24 h. Treatment with cefotaxime was initiated, but ceased after 3 weeks due to drug fever, and ciprofloxacin was then given orally for 4 months. After 6 months, the patient was considered cured. Cases of salmonella brain abscesses are reviewed.
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2/126. typhoid fever due to Salmonella Kapemba infection in an otherwise healthy middle-aged man.

    We report the case of a patient with a Salmonella Kapemba infection, who suffered, 3 weeks after a holiday in israel, occurrences of high fever and lower back pain for 10 days and icterus for 2 days before admission. Laboratory findings revealed a slight cholestasis and elevation of acute phase protein levels. In the blood culture a Salmonella Kapemba-type organism was cultured. The patient was afebrile for 10 days after hospitalization and then suddenly developed a temperature of 40 degrees C again. At the same time leukopenia, thrombocytopenia, and a rise of D-dimer levels were detected. The patient was admitted to the intensive care unit for a few days, because a disseminated intravascular coagulation was suspected. With magnetic resonance imaging and bone scintigraphy no osteomyelitis or abscess formation could be found. A transesophageal ultrasonography of the heart revealed no signs of endocarditis. In multiple stool cultures no salmonellas could be detected. After antibiotic treatment with ciprofloxacin the fever and lower back pain subsided, and the patient was discharged a fortnight later. This is the first reported case of typhoid fever due to the bacterium Salmonella Kapemba.
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3/126. Primary Salmonella iliopsoas abscess: a case report.

    Primary iliopsoas abscesses are usually hematogenous or seeded via the lymphatic system from an occult focus. staphylococcus aureus has been reported to be the predominant pathogen, whereas Salmonella sp has rarely been reported to be a major pathogen. We report the case of a 63-year-old woman who presented with a prolonged fever of two weeks' duration. On admission, physical examination revealed tenderness over the left lower abdomen and hip joint, with her thigh in constant flexion. Computerized tomography of the abdomen revealed an iliac fossa abscess. The drained pus culture yielded Salmonella group B. Percutaneous catheter drainage and appropriate antimicrobial therapy with ciprofloxacin eventually yielded good results. There was no evidence of other underlying diseases predisposing the patient to the formation of iliopsoas abscess. Salmonella infection should be considered in the diagnostic protocols of iliopsoas abscess in taiwan, where salmonellosis is prevalent.
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4/126. Salmonella meningitis and multiple cerebral abscesses in an infant.

    The history of a 4-week-old infant with meningitis and multiple cerebral abscesses caused by salmonella enteritidis is reported. Management included successful treatment with a prolonged course of antibiotics, including ciprofloxacin, neurosurgical drainage and long-term immunoglobulin supplements. No adverse effects of joint toxicity were detected.
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5/126. Spontaneous resolution of internal jugular vein thrombosis in a Salmonella neck abscess patient.

    This article describes a rare case of Salmonella neck abscess complicated by internal jugular vein thrombosis in a 51-year-old patient with previously undiagnosed diabetes. The patient was discharged without any complications after a combination of medical and surgical treatment. Also discussed here are the clinical manifestations, imaging findings, and spontaneous resolution of the internal jugular vein thrombosis. Being immunocompromised is a critical predisposing factor for Salmonella neck abscess. Patient recovery is largely determined by proper incision, drainage of pus and adequate intravenous antibiotics according to bacterial sensitivity tests. Detection of an internal jugular vein thrombosis does not signify a poor prognosis. Spontaneous resolution of thrombosis is encountered after treating the infection.
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6/126. salmonella enteritidis brain abscess: case report and review.

    Intracranial infections are unusual manifestations of salmonellosis. Even with adequate medical and surgical interventions these infections are often associated with significant morbidity and mortality. We report a case of brain abscess caused by salmonella enteritidis associated with a brain neoplasm and review previous reports in the literature.
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7/126. 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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8/126. Intracranial salmonella infections: meningitis, subdural collections and brain abscess. A series of six surgically managed cases with follow-up results.

    Focal intracranial infections due to Salmonella are rare. So far, around 80 cases have been reported in the world literature. The authors present their experience of 6 cases of intracranial salmonella infections, mainly subdural empyema in 5 and effusion in 1. In 1 case, subdural empyema was bilateral, and in another case, there was an associated brain abscess. Positive blood cultures and positive Widal tests were noticed in 2 patients each. early diagnosis and prompt evacuation of subdural collections and brain abscess and antibiotic therapy lead to satisfactory results. This study suggests that a high index of suspicion, early diagnosis and quick evacuation lead to success; this point is highlighted with the help of a review of the literature.
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9/126. salmonella typhi liver abscess.

    We report on the first case of a typhoid liver abscess treated at the Chris Hani Baragwanath Hospital in Johannesburg, which responded well to percutaneous catheter drainage and intravenous ampicillin therapy.
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10/126. Spontaneous gas-forming liver abscess caused by Salmonella within hepatocellular carcinoma: a case report and review of the literature.

    In conclusion, pyogenic liver abscess in hepatocellular carcinoma is unusual. Most of the reported cases occurred after a treatment such as transcatheter arterial embolization or percutaneous ultrasound-guided ethanol injection. Salomonella very rarely causes pyogenic liver abscesses. Only 14 cases have been reported in the English literature since 1911. Salmonella liver abscess occurring within a primary neoplasm is even rarer. There were only two such cases described in patients with hepatocellular carcinoma before. The present case is the third one, but it may be the first case of obvious spontaneous gas-forming liver abscess caused by Salmonella within hepatocellular carcinoma.
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