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非伤寒沙门菌菌血症中的阑尾炎

Appendicitis in non-typhoidal salmonella bacteraemia.

作者信息

Wong Siow Yun, Lee Samuel Kang Lian, Er Chaozer, Kuthiah Navin

机构信息

Ministry of Health Holdings, Singapore.

Department of General Medicine, Woodlands Health Campus, Singapore.

出版信息

Oxf Med Case Reports. 2018 Oct 22;2018(11):omy082. doi: 10.1093/omcr/omy082. eCollection 2018 Nov.

Abstract

Salmonella typhi and paratyphi infections can manifest as acute abdomen due to intestinal perforations, salpingitis and rarely appendicitis. Non-typhoidal salmonella infection that usually only causes self-limiting gastroenteritis, is rarely associated with appendicitis. We present the case of a 78-year-old gentleman with Salmonella bacteraemia complicated by acute appendicitis. He was treated conservatively due to multiple comorbidities. His condition improved after completion of 2 weeks of antibiotics guided by the blood and stool culture results. Appendicitis is a rare but important complication to consider in Salmonella bacteraemia. More research needs to be done with regards to the clinical course of Salmonella related appendicitis.

摘要

伤寒沙门菌和副伤寒沙门菌感染可因肠穿孔、输卵管炎,罕见情况下因阑尾炎而表现为急腹症。非伤寒型沙门菌感染通常仅引起自限性胃肠炎,很少与阑尾炎相关。我们报告一例78岁男性,患有沙门菌血症并并发急性阑尾炎。由于多种合并症,他接受了保守治疗。在根据血培养和粪便培养结果完成2周抗生素治疗后,他的病情有所改善。阑尾炎是沙门菌血症中一种罕见但需要考虑的重要并发症。关于沙门菌相关性阑尾炎的临床病程,还需要进行更多研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/879f/6196765/0888fa86fba4/omy082f01.jpg

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