Madar Cristian S, Cardile Anthony P, Cunningham Scott, Magpantay Gil, Finger David
Department of Internal Medicine, Tripler Army Medical Center, Honolulu, HI 96859, USA.
Hawaii J Med Public Health. 2012 Feb;71(2):49-50.
An interesting case of gastroenteritis due to Salmonella Birkenhead following ingestion of raw venison sashimi is described. A 65-year-old man presented with diarrhea, vomiting, and fever. On exam he was hypotensive, tachycardic, with evidence of severe dehydration following ingestion of raw venison sashimi produced with game meat hunted on the Hawaiian island of Lana'i. He responded rapidly to vigorous volume resuscitation, and stool cultures later were positive for Salmonella Birkenhead. Non-typhoidal Salmonella is the most frequently identified cause of foodborne illness in the United States. Clinicians in the state of Hawai'i should be alert and aware of the potential for the local deer population to be an unusual source of foodborne illness, especially given the prevalence of consumption of raw foods in the local cuisine.
本文描述了一例因食用生鹿肉生鱼片而感染伯肯黑德沙门氏菌导致肠胃炎的有趣病例。一名65岁男性出现腹泻、呕吐和发热症状。经检查，他血压低、心动过速，有证据表明在食用了用在夏威夷拉奈岛猎杀的野味制成的生鹿肉生鱼片后出现严重脱水。他对积极的容量复苏反应迅速，后来粪便培养显示伯肯黑德沙门氏菌呈阳性。非伤寒沙门氏菌是美国食源性疾病最常见的病因。夏威夷州的临床医生应提高警惕，意识到当地鹿群有可能成为食源性疾病的不寻常来源，尤其是考虑到当地菜肴中生食的流行情况。
