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肠炎沙门氏菌肠炎血清型引起的脊椎骨髓炎及硬膜外脓肿并发脑膜炎

Salmonella Enterica Serotype Enteritidis Vertebral Osteomyelitis and Epidural Abscess Complicated with Meningitis.

作者信息

Oki Masayuki, Ueda Akihiro, Tsuda Ayumi, Yanagi Hidetaka, Ozawa Hideki, Takagi Atsushi

机构信息

Division of General Internal Medicine, Department of Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.

出版信息

Tokai J Exp Clin Med. 2016 Sep 20;41(3):169-71.

Abstract

Infection with non-typhoidal Salmonella often results in a self-limited acute gastroenteritis. Extra-intestinal Salmonella infection is relatively rare and occurs predominantly in infants and adults with significant underlying conditions. We describe a 54-year-old Japanese man with a history of heavy alcohol consumption and daily contact with a dog, who developed bacteremia complicated by vertebral osteomyelitis, spinal epidural abscess, and meningitis, due to Salmonella enterica serotype Enteritidis. This case suggests that Salmonella should be considered as an etiologic pathogen in adult patients with perivertebral infection or meningitis.

摘要

非伤寒沙门氏菌感染通常会导致自限性急性肠胃炎。肠外沙门氏菌感染相对罕见,主要发生在有严重基础疾病的婴儿和成人中。我们描述了一名54岁的日本男性,有大量饮酒史且每天与狗接触,他因肠炎沙门氏菌血清型肠炎杆菌感染而发生菌血症,并伴有脊椎骨髓炎、脊髓硬膜外脓肿和脑膜炎。该病例表明,对于患有椎旁感染或脑膜炎的成年患者,应将沙门氏菌视为病原体。

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