Schwartz I D, Olson L C
Department of Pediatrics, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Missouri.
Clin Pediatr (Phila). 1989 Jun;28(6):266-7. doi: 10.1177/000992288902800606.
The authors describe a young girl presenting with fever and respiratory distress and a chest x-ray showing a left lower lobe infiltrate and an effusion. She also had splenomegaly. Salmonella enteritidis serotype Heidelberg was isolated by thoracentesis. Further evaluation disclosed an occult but large left subphrenic abscess, explaining the misleading presentation and radiograph. A review of salmonella infections associated with subphrenic abscess is discussed.
作者描述了一名出现发热和呼吸窘迫的年轻女孩，胸部X光显示左下叶浸润和胸腔积液。她还伴有脾肿大。通过胸腔穿刺术分离出肠炎沙门氏菌海德堡血清型。进一步评估发现一个隐匿但较大的左膈下脓肿，这解释了具有误导性的临床表现和X光片结果。本文讨论了与膈下脓肿相关的沙门氏菌感染的综述。
