Lalitha M K, John R
Christian Medical College and Hospital, Vellore, India.
Q J Med. 1994 May;87(5):301-9.
From January 1981 to December 1992, of 6250 cases of salmonellosis treated at the Christian Medical College and Hospital, Vellore, India, 100 patients with focal pyogenic infection caused by salmonellae required surgical intervention in addition to medical therapy. Thirty-one had involvement of the hepatobiliary system, and 10 more had other intra-abdominal infections. Involvement of bone and joint as well as soft tissue constituted 15% each. The site of infection in patients with soft tissue abscesses included skin (7), parotid (2), thyroid (2), breast (1) inguinal node (1), branchial sinus (1) and injection site (1). Three patients had arterial infections. Noteworthy among the cases of genital infections was one case of salmonella infection in a pre-existing hydrocele, and one case of epididymo-orchitis with a loculated salmonella infection. Salmonella infection in a pre-existing ovarian cyst was seen in a patient with endometriosis. The salmonella serotypes most frequently encountered were S. typhi (36) and S. typhimurium (36), followed by S. paratyphi A (15). The importance of recognition of these protean manifestations of salmonellosis in an endemic setting is discussed. The microbiological evaluation of properly obtained specimens is mandatory in such unusual pyogenic infections.
1981年1月至1992年12月，在印度韦洛尔基督教医学院附属医院接受治疗的6250例沙门氏菌病患者中，有100例沙门氏菌引起的局灶性化脓性感染患者除药物治疗外还需要手术干预。31例患者的肝胆系统受累，另有10例患有其他腹腔内感染。骨与关节以及软组织受累的患者各占15%。软组织脓肿患者的感染部位包括皮肤（7例）、腮腺（2例）、甲状腺（2例）、乳腺（1例）、腹股沟淋巴结（1例）、鳃窦（1例）和注射部位（1例）。3例患者发生动脉感染。在生殖器感染病例中，值得注意的是1例存在先天性鞘膜积液的沙门氏菌感染，以及1例伴有局限性沙门氏菌感染的附睾炎或睾丸炎。1例子宫内膜异位症患者的先天性卵巢囊肿中发现了沙门氏菌感染。最常遇到的沙门氏菌血清型是伤寒沙门氏菌（36例）和鼠伤寒沙门氏菌（36例），其次是甲型副伤寒沙门氏菌（15例）。本文讨论了在地方病环境中认识沙门氏菌病这些多变表现的重要性。在这种不寻常的化脓性感染中，对正确采集的标本进行微生物学评估是必不可少的。
