Oxman Jonathan M, Boadla Laura Rivera, Sells Nicholas
Mount Sinai Morningside-West Hospital Center, Icahn School of Medicine at Mount Sinai, 440 West 114th Street, New York, NY 10025, United States.
IDCases. 2023 Jun 9;33:e01816. doi: 10.1016/j.idcr.2023.e01816. eCollection 2023.
Non-typhoidal spreads to humans via contact with animals or consumption of contaminated animal products, often causing outbreaks of a self-resolving gastroenteritis. Less commonly, it can lead to bacteremia and invasive disease. Nosocomial, person-to-person, and asymptomatic carrier transmission are uncommon in the United States. Reactivation of latent in immunocompromised patients is also a known phenomenon. Here, we report a case of an isolated bacteremia that developed in an intubated patient with a prolonged hospital course and no clear outbreak or focus of infection. Non-traditional means of transmission and reactivation of latent should be considered in the absence of an outbreak phenomenon, especially in patients with multiple comorbidities and immunocompromise.
非伤寒型[细菌名称未给出]通过与动物接触或食用受污染的动物产品传播给人类,常引发自限性肠胃炎疫情。较少见的情况下,它可导致菌血症和侵袭性疾病。在美国,医院内传播、人际传播和无症状携带者传播并不常见。免疫功能低下患者中潜伏[细菌名称未给出]的重新激活也是一种已知现象。在此,我们报告一例插管患者发生的孤立性[细菌名称未给出]菌血症病例,该患者住院时间延长,且无明确的疫情或感染源。在没有疫情现象的情况下,应考虑非传统的传播方式以及潜伏[细菌名称未给出]的重新激活,尤其是在患有多种合并症和免疫功能低下的患者中。