Pancreas as an Occult Source of Recurrent Salmonella enteritidis Bacteremia in an Immunocompromised Patient
Salmonella infection usually presents as gastroenteritis and enteric fever. Some cases of bacteremia can lead to invasion of different organ systems and become occult sources for recurrence. Almost all organs of the body can be affected and have been reported in the literature. We report a rare case...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/7296295 |
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| author | Don Bambino Geno Tai Laxmi Upadhyay Ruchika Jain Robert Goldstein |
| author_facet | Don Bambino Geno Tai Laxmi Upadhyay Ruchika Jain Robert Goldstein |
| author_sort | Don Bambino Geno Tai |
| collection | DOAJ |
| description | Salmonella infection usually presents as gastroenteritis and enteric fever. Some cases of bacteremia can lead to invasion of different organ systems and become occult sources for recurrence. Almost all organs of the body can be affected and have been reported in the literature. We report a rare case of repeated Salmonella enteritidis infection in a patient with systemic lupus erythematosus. She was treated with intravenous and oral antibiotics but still had recurrence of fevers and bacteremia. After a thorough workup, pancreatic abscesses were identified and drained with abscess culture revealing Salmonella enteritidis. She was then treated with a prolonged course of antibiotics and finally cleared the infection. This case demonstrates that nontyphoid Salmonella can be invasive and cause persistent infection. This is particularly pertinent in immunocompromised patients who are at an increased risk of infection. An aggressive workup and prolonged antibiotic course might be beneficial for this subset of patients. |
| format | Article |
| id | doaj-art-496be3de609d4ac9868c40f91998a2cf |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-496be3de609d4ac9868c40f91998a2cf2025-02-03T01:26:06ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/72962957296295Pancreas as an Occult Source of Recurrent Salmonella enteritidis Bacteremia in an Immunocompromised PatientDon Bambino Geno Tai0Laxmi Upadhyay1Ruchika Jain2Robert Goldstein3Montefiore New Rochelle Hospital, 16 Guion Place, New Rochelle, NY 10801, USAMontefiore New Rochelle Hospital, 16 Guion Place, New Rochelle, NY 10801, USAMontefiore Medical Center, 1825 Eastchester Road, Bronx, NY 10461, USAMontefiore New Rochelle Hospital, 16 Guion Place, New Rochelle, NY 10801, USASalmonella infection usually presents as gastroenteritis and enteric fever. Some cases of bacteremia can lead to invasion of different organ systems and become occult sources for recurrence. Almost all organs of the body can be affected and have been reported in the literature. We report a rare case of repeated Salmonella enteritidis infection in a patient with systemic lupus erythematosus. She was treated with intravenous and oral antibiotics but still had recurrence of fevers and bacteremia. After a thorough workup, pancreatic abscesses were identified and drained with abscess culture revealing Salmonella enteritidis. She was then treated with a prolonged course of antibiotics and finally cleared the infection. This case demonstrates that nontyphoid Salmonella can be invasive and cause persistent infection. This is particularly pertinent in immunocompromised patients who are at an increased risk of infection. An aggressive workup and prolonged antibiotic course might be beneficial for this subset of patients.http://dx.doi.org/10.1155/2018/7296295 |
| spellingShingle | Don Bambino Geno Tai Laxmi Upadhyay Ruchika Jain Robert Goldstein Pancreas as an Occult Source of Recurrent Salmonella enteritidis Bacteremia in an Immunocompromised Patient Case Reports in Infectious Diseases |
| title | Pancreas as an Occult Source of Recurrent Salmonella enteritidis Bacteremia in an Immunocompromised Patient |
| title_full | Pancreas as an Occult Source of Recurrent Salmonella enteritidis Bacteremia in an Immunocompromised Patient |
| title_fullStr | Pancreas as an Occult Source of Recurrent Salmonella enteritidis Bacteremia in an Immunocompromised Patient |
| title_full_unstemmed | Pancreas as an Occult Source of Recurrent Salmonella enteritidis Bacteremia in an Immunocompromised Patient |
| title_short | Pancreas as an Occult Source of Recurrent Salmonella enteritidis Bacteremia in an Immunocompromised Patient |
| title_sort | pancreas as an occult source of recurrent salmonella enteritidis bacteremia in an immunocompromised patient |
| url | http://dx.doi.org/10.1155/2018/7296295 |
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