Arentoft H, Schønheyder H, Schønemann N K
Dept. of Medicine C, Aalborg Hospital, Denmark.
Infection. 1993 Jul-Aug;21(4):251-3. doi: 10.1007/BF01728903.
A 59-year-old woman with renal failure was admitted in a coma with seizures. Computerized tomography (CT) revealed a frontal mass in the right cerebral hemisphere and on day 12 new low density areas had appeared in both the right and left hemisphere. Blood cultures on day 13 grew Salmonella typhimurium, and the patient died the next day. An autopsy showed cerebral infarction with abscess formation. The elusive features of non-typhoid Salmonella infections make it advisable to obtain blood and faecal cultures from susceptible patients with fever or focal disorders of unknown aetiology.
一名59岁的肾衰竭女性因昏迷伴癫痫发作入院。计算机断层扫描（CT）显示右大脑半球有一个额叶肿块，第12天左右两侧大脑半球均出现了新的低密度区。第13天血培养出鼠伤寒沙门氏菌，患者于次日死亡。尸检显示有脑梗死伴脓肿形成。非伤寒沙门氏菌感染的隐匿特征使得对患有发热或病因不明的局灶性疾病的易感患者进行血培养和粪便培养是明智的。
