Cases reported "Salmonella Infections"

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21/126. Suppurative salmonella thyroiditis in a patient with chronic lymphocytic leukemia.

    We describe an 82-year-old man with undiagnosed chronic lymphocytic leukemia (CLL) who presented with acute swelling of the thyroid goiter. Subsequent thyroid aspirate and blood culture yielded group B Salmonella thyroid abscess with septicemia. Infectious complications are the major cause of morbidity and mortality in patients with CLL since most of them can be timely detected and few can arise from innocent-looking lesions.
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ranking = 1
keywords = abscess
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22/126. Splenic abscess: is conservation applicable?

    A rare occurrence of salmonella abscess in a congenital cyst of the spleen is presented. Although splenectomy was curative, the role of splenic salvage is discussed. Percutaneous drainage is curative in about 70% of cases and may be the treatment of choice in solitary thick-walled abscesses. It should be remembered, however, that residual or regenerated splenic tissue is no absolute guarantee against sepsis. The treatment of splenic abscess should be individualised.
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ranking = 7
keywords = abscess
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23/126. Purulent pericarditis complicating septicaemia: report of two cases.

    Intrapericardial (Pericardial) abscess is quite rare as a complication of sepsis and as a cardiac complication of typhoid septicaemia. It is rapidly fatal if untreated. We report two cases of a schoolboy eight years old with septicaemia from pyomyositis of the right thigh and another of nine and a half years with typhoid perforation and typhoid septicaemia that developed pericardial abscesses. In well-developed centres, computerised tomography, ultrasonography and other radiological investigations are employed for both diagnosis and therapy. We emphasise that these can be accomplished by good clinical examination, radiography of chest and the use of 18-G intra-venous cannula for percutaneous pericardiocentesis without aggressive surgical intervention.
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ranking = 2
keywords = abscess
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24/126. A rare case of Salmonella-mediated sacroiliitis, adjacent subperiosteal abscess, and myositis.

    We report the case of a 16-year-old female who was ultimately diagnosed with Salmonella sacroiliitis, adjacent subperiosteal abscess, and myositis of the left iliopsoas, gluteus medius, and obturator internus muscles. Early and accurate recognition of this syndrome and other infectious musculoskeletal syndromes can prove difficult for the emergency physician, as these disease processes require special attention to pain of proportion to physical findings and a high index of suspicion.
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ranking = 5
keywords = abscess
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25/126. Neonatal Salmonella panama infection with meningitis.

    Three full-term neonates contracted a hospital infection with Salmonella panama derived from the mother of one. Two had bacteraemia and meningitis; one developed a brain abscess and the other recurrent meningitis at two months. The third neonate had gastroenteritis only. Six months later they had developed normally and two were still excreting salmonellae in the stools.
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ranking = 1
keywords = abscess
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26/126. Salmonella retropharyngeal abscess in a child: case report and literature review.

    retropharyngeal abscess is a rare but serious disease in children. Salmonella species are uncommon causative agents of deep neck infections. We present the clinical course of a 10-year-old boy with a retropharyngeal abscess caused by Salmonella lomita and review 18 previously published cases.
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ranking = 6
keywords = abscess
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27/126. salmonella typhimurium mediastinal abscess in a patient with systemic lupus erythematosus.

    We describe a case of a salmonella typhimurium mediastinal abscess in a patient with systemic lupus erythematosus (SLE). patients with SLE are predisposed to nontyphoidal salmonella infection with a high incidence of bacteraemia and abscess formation. Our case is the first report of a mediastinal abscess from salmonella typhimurium in an SLE patient and highlights the need for thorough assessment and treatment of SLE patients who have this organism identified.
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ranking = 7
keywords = abscess
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28/126. salmonella enteritidis causing brain abscess and coxitis following intracranial surgery.

    We report the case of a 46-year-old woman who underwent surgery for an adamantinous craniopharyngeoma (WHO grade I). The postoperative course, during which the patient received 16 mg/day of dexamethasone, was initially uneventful. After a fortnight the patient developed infectious signs and an intracranial abscess at the operation site with simultaneous purulent coxitis. Both the intracranial abscess and the coxitis were evacuated and drained. In tissue samples and pus obtained during re-craniotomy and during surgery on the hip, salmonella enteritidis was detected by cultivation. salmonella enteritidis was also isolated from several stool specimens. There was no known salmonellosis in the patient's medical history. She recovered as a result of antibiotic treatment with ciprofloxacin and chloramphenicol. The intracranial abscess healed without leaving any neurological deficit. Unfortunately the left hip subsequently required further surgery, culminating in removal of the entire femoral head. Prosthetic replacement could not yet be performed due to the recurrent septic course of the hip. Our case illustrates a serious complication with presumed haematogenous spread of the infection from a pre-existing asymptomatic and unknown colon infection. The immunosuppressive effect of corticosteroids in the treatment of the brain neoplasm might have been a contributing factor to the sudden exacerbation of the latent infection.
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ranking = 7
keywords = abscess
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29/126. Salmonella epidural abscess in sickle cell disease: failure of the nonsurgical treatment.

    In patients suffering from sickle cell disease (SCD), bone is a preferred site of infection. We report the case of a five-year-and-eight-month-old black African boy with homozygous-SS disease who developed a cranial epidural abscess. This intracranial infectious complication originated from a salmonella enteritidis osteitis of the frontal bone. Antibiotic treatment alone did not control the disease, so surgery was necessary to remove the necrotic bone and to evacuate the epidural pus. The numerous factors interfering with normal healing of a septic focus in sickle cell anemia, particularly in this previously undescribed intracranial complication, emphasize the need for a primary and early surgical treatment in similar situations.
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ranking = 5
keywords = abscess
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30/126. neuroblastoma masquerading as a retroperitoneal Salmonella abscess.

    Symptomatic salmonella infections usually manifest as self-limited gastrointestinal distress. patients with chronic systemic illnesses or those who are immunosuppressed may rarely present with Salmonella infection as distant suppurative abscesses. We present a previously healthy Armenian boy who came to medical attention with abdominal pain, fever, and anemia. Abdominal computed tomography (CT) scan showed a cystic suprarenal mass that was surgically explored and found to be a retroperitoneal Salmonella abscess. Postoperative CT scan showed resolving inflammation. A 6-month follow-up CT showed a large suprarenal tumor, which at exploration was found to be neuroblastoma. To our knowledge, Salmonella has never been reported presenting as a solitary retroperitoneal abscess, and neuroblastoma has not been described presenting as a Salmonella abscess. The patient is also unusual because the abscess contained a species unusual for suppurative salmonellosis.
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ranking = 9
keywords = abscess
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