Magill Stephen, Koh Hoey C, Renwick Andrew, Vella Mark
Department of General Surgery, Royal Alexandra Hospital, Paisley, UK.
BMJ Case Rep. 2012 Nov 9;2012:bcr2012007219. doi: 10.1136/bcr-2012-007219.
With a low incidence of Salmonella infection, salmonellosis is an uncommon problem in Scotland. It occurs in both immune-compromised and immune-competent patients. We present two cases of salmonellosis in immune-competent patients who had had a history of gastroenteritis. Diagnosis was delayed in one patient; however, both patients received appropriate treatment and made good recovery following their respective illnesses. Apart from acting as a reminder to consider salmonellosis as a differential diagnosis when managing patients with infective process, the cases also highlight the importance of concise history taking, and the importance of cultures-and-sensitivities in managing infectious cases.
由于沙门氏菌感染发病率较低，沙门氏菌病在苏格兰是一个不常见的问题。它在免疫功能低下和免疫功能正常的患者中均有发生。我们报告了两例免疫功能正常但有胃肠炎病史的沙门氏菌病患者。其中一名患者的诊断有所延迟；然而，两名患者均接受了适当治疗，并在患病后恢复良好。这些病例除了提醒在处理感染性疾病患者时要考虑沙门氏菌病作为鉴别诊断外，还凸显了详细病史采集的重要性，以及培养和药敏试验在处理感染病例中的重要性。
