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Deshpande A, Dash L, Pandya JS, Zende M. Salmonella paratyphi A infection presenting as breast abscess. BMJ Case Rep 2019; 12:12/4/e228887. [PMID: 30962213 DOI: 10.1136/bcr-2018-228887] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Salmonella in a breast abscess is uncommon, and Salmonella paratyphi A causing breast abscess is a rare entity. It has been reported post immunosuppression. We report here a 35-year-old woman with breast abscess caused by S. paratyphi A without obvious enteric fever-like symptoms. The case was managed with combined surgical and medical approach to treat the aetiology and focal infection.
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Affiliation(s)
- Akshay Deshpande
- General Surgery, BYL Nair Charitable Hospital, Mumbai, Mharashtra, India
| | - Lona Dash
- Microbiology, BYL Nair Charitable Hospital, Mumbai, Maharashtra, India
| | | | - Mayuri Zende
- Microbiology, BYL Nair Charitable Hospital, Mumbai, Maharashtra, India
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Agrawal S, Yadav VS, Srivastava A, Kapil A, Dhawan B. Breast abscess due to Salmonella paratyphi A : Case reports with review of literature. Intractable Rare Dis Res 2018; 7:130-133. [PMID: 29862156 PMCID: PMC5982621 DOI: 10.5582/irdr.2018.01031] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Salmonella paratyphi A causes paratyphoid fever which is characterized by acute onset of fever, abdominal pain, diarrhoea, nausea and vomiting. Localized disease can occur following both overt and silent bacteremia followed by seeding of bacteria at distant sites. Salmonella species though associated with abscess formation in various organs,are rarely associated with breast abscess. We report 2 cases of breast abscess due to Salmonella enterica serotype paratyphi A. Appropriate sampling, surgery supplemented by a comprehensive microbiological work up aided in pathogen identification and appropriate antibiotic administration for a successful outcome of these patients.
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Affiliation(s)
- Sonu Agrawal
- Department of Microbiology, All India Institute Of Medical Sciences, New Delhi, India
| | | | - Anurag Srivastava
- Department of Surgery, All India Institute Of Medical Sciences, New Delhi, India
| | - Arti Kapil
- Department of Microbiology, All India Institute Of Medical Sciences, New Delhi, India
| | - Benu Dhawan
- Department of Microbiology, All India Institute Of Medical Sciences, New Delhi, India
- Address correspondence to:Dr.Benu Dhawan, Department of Microbiology, All India Institute of Medical Sciences, New Delhi-110029, India. E-mail:
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Sidhu A, Goh SK, Lee E, Christophi C, Perini M. Salmonella typhimurium: a rare cause of mesh-related infection. J Surg Case Rep 2018; 2017:rjx196. [PMID: 29423141 PMCID: PMC5798080 DOI: 10.1093/jscr/rjx196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Accepted: 09/22/2017] [Indexed: 11/16/2022] Open
Abstract
The use of mesh in the management of abdominal wall hernias has significantly reduced the incidences of hernia recurrences. The placement of synthetic meshes to reinforce the abdominal wall is not without caveats. Synthetic meshes are associated with a risk of infection. Common causative microorganisms for mesh-related infection range from a diversity of gram positive, gram negative and anaerobic bacteria. However, non-typhoidal Salmonella spp. mesh-related infection remains poorly described in the literature. In this case, we report the management of an immunocompromised patient who developed Salmonella typhimurium mesh-related infection that was complicated by abscess formation.
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Affiliation(s)
- Ankur Sidhu
- Hepato-pancreato-biliary and Transplantation Unit, Austin Health, The University of Melbourne, VIC 3084, Australia.,Department of Surgery, Austin Health, The University of Melbourne, VIC 3084, Australia
| | - Su Kah Goh
- Hepato-pancreato-biliary and Transplantation Unit, Austin Health, The University of Melbourne, VIC 3084, Australia.,Department of Surgery, Austin Health, The University of Melbourne, VIC 3084, Australia
| | - Eunice Lee
- Hepato-pancreato-biliary and Transplantation Unit, Austin Health, The University of Melbourne, VIC 3084, Australia.,Department of Surgery, Austin Health, The University of Melbourne, VIC 3084, Australia
| | - Christopher Christophi
- Hepato-pancreato-biliary and Transplantation Unit, Austin Health, The University of Melbourne, VIC 3084, Australia.,Department of Surgery, Austin Health, The University of Melbourne, VIC 3084, Australia
| | - Marcos Perini
- Hepato-pancreato-biliary and Transplantation Unit, Austin Health, The University of Melbourne, VIC 3084, Australia.,Department of Surgery, Austin Health, The University of Melbourne, VIC 3084, Australia
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Sharma P, Bhuju A, Tuladhar R, Parry CM, Basnyat B. Tubo-ovarian abscess infected by Salmonella typhi. BMJ Case Rep 2017; 2017:bcr-2017-221213. [PMID: 28827431 PMCID: PMC5623991 DOI: 10.1136/bcr-2017-221213] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/30/2017] [Indexed: 11/04/2022] Open
Abstract
We report a case of a tubo-ovarian abscess infected with Salmonella enterica serotype typhi A 19-year-old Nepalese woman presented to a hospital in Kathmandu with lower abdominal pain, constipation, fever and a non-healing, suppurative surgical wound from an emergency caesarian section performed 2 months previously at 37 weeks of pregnancy. She also had an exploratory laparotomy for an appendix perforation with peritonitis at 25 weeks of gestation. Her wound infection did not respond to cloxacillin and she had an exploratory laparotomy, and a tubo-ovarian abscess was found from which S. typhi was isolated. She had a bilateral salpingo-oophorectomy and responded to 14 days of chloramphenicol. A tubo-ovarian abscess is a rare complication of enteric fever.
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Affiliation(s)
- Paban Sharma
- Department of Obstetrics and Gynecology, Patan Hospital, Kathmandu, Nepal
| | - Abhusani Bhuju
- Oxford University Clinical Research Unit, Patan Hospital, Kathmandu, Nepal
| | - Ruhee Tuladhar
- Department of Obstetrics and Gynecology, Patan Hospital, Kathmandu, Nepal
| | - Christopher M Parry
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Buddha Basnyat
- Oxford University Clinical Research Unit, Patan Hospital, Kathmandu, Nepal
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Baran I, Aksu N, Aksoy A. Breast abscess due to Salmonella Typhimurium in a patient with rheumatoid arthritis: a case report. BMC Infect Dis 2016; 16:348. [PMID: 27448659 PMCID: PMC4957272 DOI: 10.1186/s12879-016-1659-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Accepted: 06/28/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This is the first report of breast abscess due to Salmonella enterica serotype Typhimurium. Staphylococcus aureus is known as the most common cause of breast abscess. Salmonella spp. may occasionally form localized abscesses after dissemination to various organ systems following a bacteraemia. But breast abscess related to Salmonella spp is a very rare complication. CASE PRESENTATION A 43-year-old female patient referred to our hospital with a lump, fever and mild pain in her breast. The patient was not pregnant or lactating at that time. She had a history of rheumatoid arthritis for 5 years and was under immunosuppressive therapy. Ultrasonography of the breast revealed an abscess. The abscess was drained and sent for culture to medical microbiology laboratory. The microorganism was identified as Salmonella enterica serotype Typhimurium and found to be sensitive to all antibiotics tested. The patient was cured after surgical debridement and antibiotic therapy. The abscess did not recur again. CONCLUSIONS This case is presented to draw attention to non-typhoidal Salmonella as rare causes of breast abscess and submission of specimens to the microbiology laboratory for accurate diagnosis and treatment especially in patients with underlying immunosuppressive diseases.
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Affiliation(s)
- Irmak Baran
- Medical Microbiology Department, Ankara Numune Training and Research Hospital, Hacettepe Mahallesi Talatpasa Bulvari No:44, Altindag, 06100, Ankara, Turkey.
| | - Neriman Aksu
- Medical Microbiology Department, Ankara Numune Training and Research Hospital, Hacettepe Mahallesi Talatpasa Bulvari No:44, Altindag, 06100, Ankara, Turkey
| | - Altan Aksoy
- Medical Microbiology Department, Ankara Numune Training and Research Hospital, Hacettepe Mahallesi Talatpasa Bulvari No:44, Altindag, 06100, Ankara, Turkey
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