Chronic chest wall abscess caused by Salmonella enterica subsp. enterica serovar Dublin infection in an HIV-infected patient: a case report and literature review

Weixiao Wang , Yaling Chen , Yun Chi , Jing Huang , Wei Chen , Zhiliang Hu
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引用次数: 1

Abstract

Salmonella enterica subsp. enterica serovar Dublin (S. Dublin) is a cattle host-adapted serotype, and often causes bacteremia in human. Focal abscess caused by this pathogen is very rare, especially in those who are immunocompromised. Here, we report for the first time a case of chronic chest wall abscess caused by S. Dublin in a 51-year-old HIV-infected woman who was admitted to hospital due to chest pain which had persisted for nine months. The patient had very low CD4 count and a very high virus load. However, S. Dublin had not invaded her blood. After surgical drainage and antimicrobial treatment, the patient was discharged and did not complain chest pain at her 12-month follow up. This case suggests that S. Dublin infection should be considered in the differential diagnosis in HIV-infected patients with chronic subcutaneous abscess.

肠沙门氏菌亚群致慢性胸壁脓肿。1例hiv感染者肠血清型都柏林感染:1例报告并文献复习
肠道沙门氏菌亚种都柏林血清型肠炎(S. Dublin)是一种适应牛宿主的血清型,经常引起人类菌血症。由这种病原体引起的局灶性脓肿是非常罕见的,特别是在那些免疫功能低下的人。在这里,我们首次报告一例由S. Dublin引起的慢性胸壁脓肿,患者是一名51岁的hiv感染妇女,因胸痛持续9个月而入院。病人的CD4计数很低,病毒载量很高。然而,都柏林并没有侵入她的血液。手术引流及抗菌药物治疗后,患者出院,随访12个月无胸痛。本病例提示,在hiv感染合并慢性皮下脓肿的患者鉴别诊断中,应考虑都柏林S.感染。
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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