Gremillon D H, Geckler R, Ellenbogen C
Arch Surg. 1977 Jul;112(7):843-5. doi: 10.1001/archsurg.1977.01370070057007.
Abscess formation by Salmonella species is an uncommon but significant manifestation of salmonellosis. These localized infections can serve as sources for hospital outbreaks. Appropriate isolation measures and management require early recognition. Three patients with Salmonella abscess were admitted to hospital with a diagnosis other than Salmonella infection. In two, admitted with diagnoses of cholelithiasis and acute appendicitis, respectively, postoperative Salmonella infections developed. A third was diagnosed as having traumatic epididymitis, but was found to have Salmonella orchitis. Appropriate antibiotic therapy was effective in two of the three instances; the other resolved spontaneously. There were no recognized nosocomial infections related to these patients, in spite of delayed diagnosis and treatment. Proper routine wound care plus handwashing after patient contact can minimize the spread of these organisms from unsuspected infections.
沙门氏菌属形成脓肿是沙门氏菌病一种罕见但重要的表现形式。这些局部感染可成为医院感染暴发的源头。适当的隔离措施和管理需要早期识别。三名患有沙门氏菌脓肿的患者入院时诊断并非沙门氏菌感染。其中两名患者分别以胆石症和急性阑尾炎入院，术后发生了沙门氏菌感染。第三名患者最初诊断为创伤性附睾炎，但后来发现患有沙门氏菌性睾丸炎。在这三个病例中，有两例适当的抗生素治疗有效；另一例自行痊愈。尽管诊断和治疗有所延迟，但并未发现与这些患者相关的医院感染。适当的常规伤口护理以及在接触患者后洗手可将这些未被怀疑的感染源传播的微生物扩散降至最低。
