Mahajan Rakesh Kumar, Khan Shoeb Akhtar, Chandel Dinesh Singh, Kumar Navin, Hans Charoo, Chaudhry Rama
Ram Manohar Lohia Hospital, New Delhi, India.
J Clin Microbiol. 2003 Dec;41(12):5830-2. doi: 10.1128/JCM.41.12.5830-5832.2003.
Salmonella enterica subsp. arizonae is a common gut inhabitant of reptiles, with snakes as the most common reservoir. Though human cases due to this organism are exceedingly rare, it may infect young infants and immunocompromised individuals with a history of intimate associations with reptiles. Gastroenteritis is the most common presentation; others include peritonitis, pleuritis, osteomyelitis, meningitis, and bacteremia. We report a fatal case of S. enterica subsp. arizonae gastroenteritis in a 3-month-old child with microcephaly, with a review of earlier cases and problems encountered in identification of this rare human pathogen.
亚利桑那沙门氏菌是爬行动物常见的肠道寄居菌，蛇是最常见的宿主。虽然由该菌引起的人类病例极为罕见，但它可能会感染与爬行动物有密切接触史的幼儿和免疫功能低下者。胃肠炎是最常见的表现；其他还包括腹膜炎、胸膜炎、骨髓炎、脑膜炎和菌血症。我们报告了一例3个月大患有小头畸形的儿童因亚利桑那沙门氏菌导致胃肠炎死亡的病例，并回顾了早期病例以及在鉴定这种罕见人类病原体时遇到的问题。
