Riley K B, Antoniskis D, Maris R, Leedom J M
Department of Internal Medicine, Los Angeles County-University of Southern California Medical Center 90033.
Arch Intern Med. 1988 May;148(5):1207-10.
Three Hispanic patients at our institution developed extragastrointestinal Salmonella arizona infection associated with the ingestion of rattlesnake capsules. All patients had underlying chronic medical illnesses, including the acquired immunodeficiency syndrome, systemic lupus erythematosus, and congestive heart failure. Rattlesnake capsules were obtained from both local pharmacies and patients. Salmonella arizona, as well as various other enteric organisms, was grown on cultures obtained from all capsules tested. Review of the literature disclosed three additional cases of extragastrointestinal S arizona infection linked to rattlesnake capsule ingestion, all associated with underlying medical illness. We postulate that rattlesnake capsules may be frequently ingested by chronically ill Hispanic individuals and serve as a vehicle for serious S arizona infection.
我们机构的三名西班牙裔患者因摄入响尾蛇胶囊而发生了胃肠道外亚利桑那沙门氏菌感染。所有患者都有潜在的慢性疾病，包括获得性免疫缺陷综合征、系统性红斑狼疮和充血性心力衰竭。响尾蛇胶囊是从当地药店和患者处获得的。在所有检测的胶囊培养物中均培养出亚利桑那沙门氏菌以及各种其他肠道微生物。文献回顾发现另外三例与摄入响尾蛇胶囊相关的胃肠道外亚利桑那沙门氏菌感染病例，均与潜在的疾病有关。我们推测，慢性病西班牙裔个体可能经常摄入响尾蛇胶囊，并成为严重亚利桑那沙门氏菌感染的传播媒介。
