Vajo Z, Szekacs B, Hitre E, Jakab Z, Balint K
Hôpital Necker, INSERM u 393, Paris, France.
Wien Klin Wochenschr. 1998 Nov 27;110(22):802-3.
Soft tissue infections are among the rare manifestations of extra intestinal salmonellosis and occur more frequently in immunocompromised patients. Herein we report a case of a 51-year-old white male with type II. diabetes mellitus, diagnosed with supraclavicular abscess caused by Salmonella enteritidis. The patient denied any gastrointestinal symptoms, and stool cultures were negative. After incision, drainage, and administration of intravenous ampicillin (4 x 1.5 g/day for two weeks) the patient recovered completely. To our knowledge, this is the first reported case of cervical soft tissue abscess caused by Salmonella enteritidis without preceding gastrointestinal symptoms. We feel that the presence of diabetes was a risk factor for developing the infection.
软组织感染是肠外沙门氏菌病的罕见表现之一,在免疫功能低下的患者中更常见。在此,我们报告一例51岁的白人男性,患有II型糖尿病,诊断为肠炎沙门氏菌引起的锁骨上脓肿。患者否认有任何胃肠道症状,粪便培养结果为阴性。经过切开引流并静脉注射氨苄西林(4×1.5克/天,持续两周)后,患者完全康复。据我们所知,这是第一例报道的由肠炎沙门氏菌引起的颈部软组织脓肿,且无前驱胃肠道症状。我们认为糖尿病的存在是发生感染的一个危险因素。