Sultan Binish Arif, Fasih Naima, Qaiser Saba, Khan Erum, Zafar Afia, Irfan Seema
Department of Pathology Microbiology, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2013 Apr;63(4):524-6.
Enteric fever remains a major health problem in the developing world, including Pakistan. Poor sanitation and hygienic conditions are the major predisposing factors. Salmonella infection with different strains in the same patient has rarely been reported previously. We are reporting two cases of bacteraemia with simultaneous detection of two strains of Salmonella in a single episode of infection. In both the cases, 2 different serotypes of Salmonella were causing bacteraemia leading to fever. In highly endemic area, one must be aware of mixed Salmonella infections as inappropriate diagnosis of such infections may lead to treatment failure.
伤寒在包括巴基斯坦在内的发展中世界仍然是一个主要的健康问题。卫生条件差是主要的诱发因素。同一患者感染不同菌株的沙门氏菌此前鲜有报道。我们报告了两例菌血症病例，在单次感染中同时检测到两种沙门氏菌菌株。在这两例病例中，两种不同血清型的沙门氏菌导致菌血症并引发发热。在高流行地区，必须警惕混合沙门氏菌感染，因为对此类感染的不恰当诊断可能导致治疗失败。
