Le Chevalier B, Jehan A, Brun J, Vergnaud M
Rev Pneumol Clin. 1985;41(5):320-4.
Non-typhoid salmonella infections are extremely common, usually taking the form of a benign toxi-infection. In the context of the rare extra-digestive manifestations, the authors report 3 cases of pleuro-pulmonary involvement, in infections due to Salmonella Dublin. In 2 cases, the organism was identified from blood cultures, whilst in the 3rd case it was isolated from pleural fluid. As with other extra-digestive sites, pleuro-pulmonary involvement is favored by underlying pathology, accounting for the grave nature of the problem (amongst the 3 cases, gastrectomy and acute myeloblastic leukemia in one case and obliterative arterial disease in another case). Non-typhoid salmonella infections are sensitive to Sulfamethoxazole-trimethoprim which diffuses well in the respiratory system. They are also sensitive to Amoxicillin and to Chloramphenicol.
非伤寒沙门氏菌感染极为常见，通常表现为良性中毒性感染。在罕见的消化外表现的背景下，作者报告了3例都柏林沙门氏菌感染导致的胸膜肺受累病例。其中2例从血培养中鉴定出病原体，第3例从胸腔积液中分离出病原体。与其他消化外部位一样，潜在病理状况易导致胸膜肺受累，这也说明了问题的严重性（3例中，1例有胃切除术和急性髓细胞白血病，另1例有闭塞性动脉疾病）。非伤寒沙门氏菌感染对在呼吸系统中扩散良好的复方磺胺甲恶唑敏感。它们对阿莫西林和氯霉素也敏感。
