Margreiter D, Guggenbichler J P
Padiatr Padol. 1979;14(4):463-7.
Gastroenteritis due to Salmonella enteritis is an endemic disease in our region, extraintestinal manifestations however are rare. We report a 8 years old girl who presented after 4 days of an unspecific diarrheal disease with watery liquid stools, vomiting, abdominal cramps, fever above 39 Grad C and symptoms and signs of an acute abdominal emergency. Mid abdominal laparotomy disclosed a cholecystitis with reactive peritonitis. Cultures of bile showed Salmonella group B as the causative organism. Cholecystectomy was performed, postoperatively Gentamycin later Chloramphenicol was administered. The postoperative course was unremarkable. Cholecystitis is a rare disease in pediatrics. Gallstones don't seem to play a roll in the etiology unlike in adults. It usually follow serious systemic infections or postoperatively after unrelated abdominal surgery due to overgrowth of the biliary system and organisms contaminating the upper gastrointestinal tract (biliary stasis, dehydration). Salmonella enteritidis as a cause of a cholecystitis is a rare event.
肠炎沙门氏菌引起的肠胃炎在我们地区是一种地方病，但肠外表现很少见。我们报告一名8岁女孩，在出现4天非特异性腹泻病后就诊，症状为水样便、呕吐、腹部绞痛、体温高于39摄氏度以及急性腹部急症的症状和体征。中腹部剖腹探查发现胆囊炎伴反应性腹膜炎。胆汁培养显示B组沙门氏菌为病原体。进行了胆囊切除术，术后给予庆大霉素，后来改为氯霉素。术后病程平稳。胆囊炎在儿科是一种罕见疾病。与成人不同，胆结石似乎在病因中不起作用。它通常继发于严重的全身感染后或无关腹部手术后，原因是胆道系统过度生长以及污染上消化道的微生物（胆汁淤积、脱水）。肠炎沙门氏菌作为胆囊炎的病因是罕见事件。
