Delori M, Abgueguen P, Chennebault J-M, Pichard E, Fanello S
Service de médecine et maladies infectieuses, CHU d'Angers, 2, rue Larrey, 49933 Angers cedex 09, France.
J Gynecol Obstet Biol Reprod (Paris). 2007 Nov;36(7):709-12. doi: 10.1016/j.jgyn.2007.04.013. Epub 2007 Jun 6.
We report the case of a 54-year-old woman who presented with breast abscess, which appeared through a common alimentary toxi-infection with Salmonella Typhi, infection, which implied twelve patients having attended the same restaurant. With around hundred native cases a year in France, typhoid fever is not a very frequent toxi-infection. Among the known extra-intestinal manifestations of Salmonella infections, the breast abscess remains rare and the literature revealed less than ten published cases, including some revealed the disease. In our observation, the imputability of S. Typhi was retained based on the chronology of the clinical signs, specific treatments, and the successful outcome under antibiotherapy, in spite of the negativity of the breast abscess bacteriological samples. We also analyze rare cases of breast abscess due to S. Typhi found in the literature.
我们报告了一例54岁女性患者,她因伤寒沙门氏菌引起的常见食源性中毒感染而出现乳腺脓肿,该感染涉及12名曾在同一家餐厅就餐的患者。在法国,每年约有100例本土伤寒病例,伤寒热并非非常常见的中毒感染。在已知的沙门氏菌感染肠外表现中,乳腺脓肿仍然罕见,文献报道的病例不到10例,其中一些病例揭示了这种疾病。在我们的观察中,尽管乳腺脓肿细菌学样本呈阴性,但根据临床症状的时间顺序、特异性治疗以及抗生素治疗下的成功结果,仍认定伤寒沙门氏菌为病因。我们还分析了文献中发现的因伤寒沙门氏菌引起的罕见乳腺脓肿病例。