Au Connie, Skochko Shannon, Chau Anthony Hung
University of California Irvine School of Medicine, Irvine, CA, USA.
University of California Irvine, Department of Surgery, Orange, CA, USA.
IDCases. 2022 Jun 6;29:e01523. doi: 10.1016/j.idcr.2022.e01523. eCollection 2022.
Nontyphoidal (NTS) is a common cause of gastroenteritis in humans and animals, but intra-abdominal abscesses or organ space surgical site infection (SSI) secondary to this organism has been rarely reported, making diagnosis and management difficult. Our case of intra-mesenteric abscess caused by NTS species is the only case reported in the literature. Immunocompromising conditions such as diabetes and human immunodeficiency virus (HIV) are important risk factors for invasive nontyphoidal . Most patients are treated initially with intravenous antibiotics. Treatment often requires operative drainage by laparoscopy or laparotomy alone, although percutaneous drainage has been performed more frequently in recent years. Early clinical signs and radiographic features of intra-abdominal abscess may be diagnostically challenging. It is important for clinicians to have high index of suspicion based on history and symptomatology as prompt treatment is essential to prevent further morbidity and mortality.
非伤寒沙门菌（NTS）是人类和动物肠胃炎的常见病因，但由该病菌引起的腹腔内脓肿或器官间隙手术部位感染（SSI）鲜有报道，这使得诊断和治疗颇具难度。我们报道的这例由NTS菌种引起的肠系膜内脓肿是文献中唯一的病例。糖尿病和人类免疫缺陷病毒（HIV）等免疫功能低下状况是侵袭性非伤寒沙门菌感染的重要危险因素。大多数患者最初接受静脉抗生素治疗。尽管近年来经皮引流更为常用，但治疗通常仍需单独通过腹腔镜或剖腹手术进行手术引流。腹腔内脓肿的早期临床症状和影像学特征可能在诊断上具有挑战性。临床医生根据病史和症状表现保持高度怀疑指数很重要，因为及时治疗对于预防进一步的发病和死亡至关重要。
