Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India
Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.
Gastroenterol Rep (Oxf). 2014 Aug;2(3):242-4. doi: 10.1093/gastro/gou018. Epub 2014 Mar 19.
Salmonella typhimurium, a non-typhoidal salmonella, is an unusual cause of spontaneous bacterial peritonitis (SBP). It is usually reported in asymptomatic patients with normal or high ascitic fluid protein levels with underlying immunosuppression, as high opsonic activity in the ascitic fluid of these patients protects them from the usual organisms causing spontaneous bacterial peritonitis, unless they are exposed to a particularly virulent organism like salmonella. We report a case of culture-proven non-typhoidal salmonella in a patient with decompensated cirrhosis, with low protein and without any underlying immunosuppression, and no other source to explain its origin.
鼠伤寒沙门氏菌是一种非伤寒沙门氏菌，是自发性细菌性腹膜炎（SBP）的不常见病因。它通常在无症状患者中报告，这些患者的腹水蛋白水平正常或升高，且存在潜在免疫抑制，因为这些患者的腹水中具有较高的调理活性，可以保护他们免受通常引起自发性细菌性腹膜炎的病原体侵害，除非他们接触到像沙门氏菌这样特别具有毒性的病原体。我们报告了一例在失代偿性肝硬化患者中经培养证实的非伤寒沙门氏菌感染病例，该患者腹水蛋白水平低，且不存在任何潜在免疫抑制，也没有其他来源可以解释其感染源。
