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Ikejiri K, Suzuki K, Ito A, Yasuda K, Shindo A, Ishikura K, Imai H. Invasive Salmonella Enteritidis infection complicated by bacterial meningitis and vertebral osteomyelitis shortly after influenza A infection in an immunocompetent young adult. J Infect Chemother 2019; 26:269-273. [PMID: 31445818 DOI: 10.1016/j.jiac.2019.08.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 07/28/2019] [Accepted: 08/01/2019] [Indexed: 01/06/2023]
Abstract
Non-typhoidal Salmonella usually manifests as a self-limited acute gastroenteritis but may also cause severe invasive infections almost exclusively among children or immunosuppressed patients. A previously healthy 22-year-old man developed high fever with coma, multiple organ failure and shock. He had visited another hospital complaining of fever 2 days previously and was diagnosed with a common cold. No obvious site of infection was identified by radiology and a rapid test for influenza A virus was positive, indicating possible influenza-associated encephalopathy. However, blood as well as CSF culture yielded Salmonella enterica serotype Enteritidis. Therefore, the patient was considered to be suffering from bacterial meningitis with septic shock concomitant with influenza infection. Antiviral drugs and therapy for septic shock were initiated. He stabilized relatively quickly and his mental status dramatically improved. The patient denied preceding gastrointestinal symptoms, but mentioned that he received positive fecal Salmonella species culture results without medical intervention about 3 months previously. His laboratory values showed marked improvement but his elevated inflammatory markers and fever were sustained. On the 17th day of hospitalization, he complained of back pain and MRI showed lumbar vertebral osteomyelitis. This case indicates that (i) invasive Salmonella infection can be developed even in previously healthy adults; (ii) chronic carriage of Salmonella is a predisposing factor to development of invasive infections, and influenza infection may contribute to such "breakthrough infections"; (iii) attention to manifestation of metastatic extra-intestinal foci even after resolution of sepsis is necessary.
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Affiliation(s)
- Kaoru Ikejiri
- Emergency and Critical Care Center, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
| | - Kei Suzuki
- Emergency and Critical Care Center, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan; Department of Infectious Diseases, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan; Department of Hematology and Oncology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
| | - Asami Ito
- Emergency and Critical Care Center, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
| | - Kazunari Yasuda
- Clinical Laboratories, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
| | - Akihiro Shindo
- Department of Neurology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
| | - Ken Ishikura
- Emergency and Critical Care Center, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
| | - Hiroshi Imai
- Emergency and Critical Care Center, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
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Amadi VA, Hariharan H, Arya G, Matthew‐Belmar V, Nicholas‐Thomas R, Pinckney R, Sharma R, Johnson R. Serovars and antimicrobial resistance of non-typhoidal Salmonella isolated from non-diarrhoeic dogs in Grenada, West Indies. Vet Med Sci 2018; 4:26-34. [PMID: 29468078 PMCID: PMC5813114 DOI: 10.1002/vms3.84] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Non-typhoidal salmonellosis remains an important public health problem worldwide. Dogs may harbour Salmonella in their intestines and can easily shed Salmonella in the environment with the possibility of transmission to humans. Thus, monitoring is essential to understand the role of dogs in zoonotic transmission. The objectives of this study were to determine the shedding of Salmonella by owned, apparently healthy dogs in Grenada, West Indies, to identify the serovars, and to examine their antimicrobial susceptibility profiles. Faecal samples collected during August to October, 2016 from 144 non-diarrhoeic owned dogs were examined by enrichment and selective culture for the presence of Salmonella spp. Eight (5.6%) of the tested animals were culture positive, yielding 35 Salmonella isolates that belonged to six serovars of Salmonella enterica subspecies enterica. These were serovars Arechavaleta from two dogs, Arechavaleta and Montevideo from one dog, and Javiana, Rubislaw, Braenderup and Kiambu from one dog each. All these serovars have been reported as causes of human salmonellosis globally. Antimicrobial susceptibility tests on 35 isolates showed absence of resistance to the currently used drugs for cases of human salmonellosis, including ciprofloxacin and cefotaxime. One isolate (2.9%) was resistant to neomycin, two isolates (5.7%) showed intermediate susceptibility to neomycin, and another (2.9%) had intermediate susceptibility to tetracycline. This is the first report of isolation and antimicrobial susceptibilities of non-typhoidal Salmonella serovars from dogs in Grenada. This study shows that dogs in Grenada may be involved in the epidemiology of salmonellosis.
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Affiliation(s)
- Victor A. Amadi
- Pathobiology DepartmentSchool of Veterinary MedicineSt. George's UniversitySt. George'sGrenadaWest Indies
| | - Harry Hariharan
- Pathobiology DepartmentSchool of Veterinary MedicineSt. George's UniversitySt. George'sGrenadaWest Indies
| | - Gitanjali Arya
- Office International des Epizooties (OIE) Salmonella Reference LaboratoryPublic Health Agency of CanadaNational Microbiology at GuelphGuelphOntarioCanada
| | - Vanessa Matthew‐Belmar
- Pathobiology DepartmentSchool of Veterinary MedicineSt. George's UniversitySt. George'sGrenadaWest Indies
| | - Roxanne Nicholas‐Thomas
- Pathobiology DepartmentSchool of Veterinary MedicineSt. George's UniversitySt. George'sGrenadaWest Indies
| | - Rhonda Pinckney
- Pathobiology DepartmentSchool of Veterinary MedicineSt. George's UniversitySt. George'sGrenadaWest Indies
| | - Ravindra Sharma
- Pathobiology DepartmentSchool of Veterinary MedicineSt. George's UniversitySt. George'sGrenadaWest Indies
| | - Roger Johnson
- Office International des Epizooties (OIE) Salmonella Reference LaboratoryPublic Health Agency of CanadaNational Microbiology at GuelphGuelphOntarioCanada
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Contributor factors for the occurrence of salmonellosis during preparation, storage and consumption of homemade mayonnaise salad. Food Res Int 2015; 78:266-273. [DOI: 10.1016/j.foodres.2015.09.034] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 09/21/2015] [Accepted: 09/23/2015] [Indexed: 11/23/2022]
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Tonziello G, Valentinotti R, Arbore E, Cassetti P, Luzzati R. Salmonella typhimurium abscess of the chest wall. AMERICAN JOURNAL OF CASE REPORTS 2013; 14:502-6. [PMID: 24298305 PMCID: PMC3843581 DOI: 10.12659/ajcr.889546] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2013] [Accepted: 08/26/2013] [Indexed: 11/21/2022]
Abstract
Patient: Male, 73 Final Diagnosis: Salmonella typhimurium abscess of the chest wall Symptoms: — Medication: Ciprofloxacin Clinical Procedure:— Specialty: Infectious Diseases
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Affiliation(s)
- Gilda Tonziello
- Infectious Diseases Unit, University Hospital, Trieste, Italy
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