Bitsori M, Galanakis E, Maraki S, Raissaki M, Velivassakis E, Sbyrakis S
Department of Paediatrics, University of Crete, Heraklion, Greece.
Scand J Infect Dis. 2001;33(11):862-5. doi: 10.1080/00365540110027312.
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.
维尔肖沙门氏菌通常被认为是侵袭性较弱的非伤寒沙门氏菌之一；然而，此前已有多例侵袭性病例的报道。我们报告了3例原本健康的儿童，他们患有维尔肖沙门氏菌血症、单关节炎和椎前脓肿，其中只有1例曾患过肠胃炎。所有3名儿童分别对由头孢噻肟治疗10天、头孢曲松治疗3周以及头孢曲松加克林霉素治疗4周组成的抗生素方案有反应。总之，维尔肖沙门氏菌在免疫功能正常的儿童中可能是一种更具侵袭性的血清型，并且表现出比之前认为的更广泛的临床表现。
