Senior Lecturer and Head of the Department, University Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
Faculty of Medicine, Department of Medicine, University of Kelaniya, Sri Lanka.
Trop Doct. 2021 Oct;51(4):634-637. doi: 10.1177/0049475520979302. Epub 2021 Feb 2.
serovar is identified as an emerging pathogen, especially in the South and Southeast Asian regions. A 45-year-old male presented with an acute febrile illness, disoriented and confused. Blood culture became positive for serovar . The patient was started on intravenous Ceftriaxone. Despite aggressive management, he developed acute respiratory distress syndrome with septic shock, which required intubation and mechanical ventilation. On the 11th day of admission, he succumbed due to sepsis from peritonitis with bowel infarction. Severe sepsis due to is rare. Diabetes, malignancy, therapeutic immune suppression may predispose to invasive disease. Biochemical similarities to other Salmonella species may lead to being overlooked by clinicians. Isolates from around the world remain sensitive to most freely available antibiotics. Emergence of resistance to common antimicrobial agents could pose an obvious public health threat.
血清型被认为是一种新出现的病原体，特别是在南亚和东南亚地区。一名 45 岁男性出现急性发热性疾病，意识不清。血液培养出 血清型阳性。患者开始静脉注射头孢曲松。尽管进行了积极的治疗，但他仍出现急性呼吸窘迫综合征和感染性休克，需要插管和机械通气。入院第 11 天，他因腹膜炎伴肠梗死引起的败血症而死亡。由于 引起的严重败血症很少见。糖尿病、恶性肿瘤、治疗性免疫抑制可能使侵袭性疾病易感性增加。与其他沙门氏菌属的生化相似性可能导致临床医生忽略 。来自世界各地的分离株对大多数可获得的抗生素仍然敏感。对常见抗菌药物的耐药性的出现可能对公共卫生构成明显威胁。
