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由与爬行动物相关的沙门氏菌感染引起的脾脓肿。

Splenic abscesses caused by a reptile-associated salmonella infection.

作者信息

Berendes T D, Keijman J M G, te Velde L F, Oostenbroek R J

机构信息

Department of General Surgery Albert Schweitzer Hospital, Dordrecht, Dordrecht, The Netherlands.

出版信息

Dig Surg. 2007;24(5):397-9. doi: 10.1159/000107718. Epub 2007 Aug 29.

Abstract

Salmonella infections are not very uncommon. The source generally has to be looked for in food. The syndrome concerns mostly gastro-enteritis. We present a 17-year-old girl with sepsis caused by splenic abscesses which was successfully treated with splenectomy and antibiotics. After analysis (blood and surgical specimen samples), she appeared to be infected with Salmonella type Telelkebir, a rare variant that is associated with exotic animal species, mainly reptiles. The same variant was cultivated from the faeces of the reptile pets that were held in the patients' home. We describe a case with a not often recognized source and an unusual course of Salmonella infection. Exotic pets can be a source of Salmonella infections with a catastrophic course of the disease even in healthy people.

摘要

沙门氏菌感染并不罕见。通常必须在食物中寻找感染源。该综合征主要涉及肠胃炎。我们报告一名17岁女孩,因脾脓肿导致败血症,通过脾切除和抗生素治疗成功治愈。经过分析(血液和手术标本样本),她似乎感染了泰勒凯比尔沙门氏菌,这是一种与外来动物物种(主要是爬行动物)相关的罕见变种。在患者家中饲养的爬行动物宠物粪便中也培养出了相同的变种。我们描述了一例沙门氏菌感染,其感染源不常被识别且病程异常。即使在健康人群中,外来宠物也可能是沙门氏菌感染的来源,且疾病进程具有灾难性。

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