Ricard C, Mellentin J, Ben Abdallah Chabchoub R, Kingbede P, Heuclin T, Ramdame A, Bouquet A, Couttenier F, Hendricx S
Laboratoire de bactériologie, centre hospitalier de Douai, route de Cambrai, 59507 Douai, France.
Laboratoire de bactériologie, centre hospitalier de Douai, route de Cambrai, 59507 Douai, France.
Arch Pediatr. 2015 Jun;22(6):605-7. doi: 10.1016/j.arcped.2013.09.019. Epub 2013 Oct 26.
In humans, Salmonella most often causes self-limiting gastroenteritis, but more severe symptoms such as sepsis and meningitis can also occur and can sometimes have a fatal outcome. Even if the meningitis is not fatal, sequelae such as epilepsy, cranial nerve palsies, and hydrocephalus can occur. In the United States, it has been estimated that approximately 6% of the human cases of salmonellosis can be attributed to contact with reptiles or amphibians. The infection may take place by direct contact between reptile and human or indirectly via contact with an environment contaminated with Salmonella from a reptile. Salmonella enterica subsp. enterica serotype Vitkin is a common gut inhabitant of reptiles. Though human cases due to this organism are exceedingly rare, it may infect young infants and immunocompromised individuals with a history of intimate associations with reptiles. Gastroenteritis is the most common presentation ; others include peritonitis, meningitis and bacteremia. We report a case of meningitis caused by S. enterica subsp. enterica serotype Vitkin in a 1-month-old child due to a pet turtle.
在人类中，沙门氏菌最常引起自限性肠胃炎，但也可能出现更严重的症状，如败血症和脑膜炎，有时甚至会导致致命后果。即使脑膜炎不致命，也可能出现癫痫、颅神经麻痹和脑积水等后遗症。在美国，据估计约6%的人类沙门氏菌病病例可归因于与爬行动物或两栖动物的接触。感染可能通过爬行动物与人类的直接接触发生，或通过接触被来自爬行动物的沙门氏菌污染的环境间接发生。肠炎沙门氏菌亚种肠道血清型维特金是爬行动物常见的肠道寄居菌。虽然由这种病菌引起的人类病例极为罕见，但它可能会感染与爬行动物有密切接触史的幼儿和免疫功能低下者。肠胃炎是最常见的表现；其他还包括腹膜炎、脑膜炎和菌血症。我们报告了一例由肠炎沙门氏菌亚种肠道血清型维特金引起的脑膜炎病例，患儿为一名因宠物龟感染的1个月大婴儿。
