A Rare and Life-Threatening Complication of Salmonella Typhi Infection: A Case Report From India Highlighting Diagnostic and Therapeutic Challenges in Salmonella Sepsis.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2024-12-23 eCollection Date: 2024-12-01 DOI:10.7759/cureus.76234
Jaziya Jabeen, M Ardra, Chithra Valsan, John Paul, Cherish Paul
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Abstract

Salmonella infections are widely known to cause gastroenteritis, especially in areas of poor hygiene and sanitation. Common symptoms include sustained fever, chills, and abdominal pain. Sepsis, disseminated intravascular coagulation (DIC), various neurological manifestations, and multiorgan failure are other uncommon presentations. Raising appropriate awareness about its clinical spectrum is therefore crucial, even in the absence of typical symptoms. The following case of a 34-year-old Indian female who developed Salmonella Typhi-induced sepsis addresses various challenges involved in diagnosing and treating the condition. The case was successfully managed with rapid diagnostics, targeted antibiotic therapy, and supportive care. Recognizing the condition early and providing necessary treatment is therefore vital to preventing substantial morbidity and mortality. To improve outcomes for critically ill patients, it is important that the causative organism be identified quickly and appropriate treatment be commenced. Here, we present a case of Salmonella sepsis complicated by DIC, its clinical course, and the diagnostic and treatment modalities we have followed.

一种罕见且危及生命的伤寒沙门氏菌感染并发症:一份来自印度的病例报告,强调了沙门氏菌败血症的诊断和治疗挑战。
众所周知,沙门氏菌感染会引起肠胃炎,特别是在卫生条件差的地区。常见症状包括持续发烧、发冷和腹痛。脓毒症,弥散性血管内凝血(DIC),各种神经系统表现和多器官功能衰竭是其他不常见的表现。因此,即使在没有典型症状的情况下,也必须提高对其临床谱系的适当认识。以下病例是一名34岁的印度女性,她患上了伤寒沙门氏菌引起的败血症,解决了诊断和治疗这种疾病所面临的各种挑战。通过快速诊断、靶向抗生素治疗和支持性护理,成功管理了该病例。因此,及早认识到这种情况并提供必要的治疗对于预防大量发病率和死亡率至关重要。为了改善危重病人的预后,重要的是要迅速查明致病微生物并开始适当的治疗。在这里,我们提出一例沙门氏菌脓毒症合并DIC,其临床过程,以及我们所遵循的诊断和治疗方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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