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Pleuro pulmonary infection with Salmonella group E
1Department of Microbiology, Maulana Azad Medical College, New Delhi, India.
Abstract:
A patient was admitted with a history of cough, shortness of breath and fever. After investigations, he was found to have a left-sided pneumonia with pleural effusion. Culture of the patient's sputum, pleural fluid and blood revealed Salmonella senftenberg. The patient was started on antibiotics according to the sensitivity report and responded to therapy. The past history revealed attempt at suicide by the intake of corrosive acid, which caused an esophageal stricture. The leak of gastric contents into the mediastinum lead to the infection of the pleural cavity and pneumonia.
Insights
A rare case of Salmonella senftenberg pneumonia and pleural effusion occurred secondary to a corrosive acid-induced esophageal stricture and gastric content leak. Prompt antibiotic therapy led to patient recovery.
Area of Science:
- Infectious Diseases
- Pulmonology
- Gastroenterology
Background:
- Esophageal strictures can lead to serious complications.
- Aspiration of gastric contents is a known risk factor for pneumonia.
- Salmonella species are typically associated with gastroenteritis.
Observation:
- A patient presented with symptoms of pneumonia and pleural effusion.
- Sputum, pleural fluid, and blood cultures identified Salmonella senftenberg.
- The patient had a history of corrosive acid ingestion causing an esophageal stricture.
Findings:
- The patient was diagnosed with left-sided pneumonia and pleural effusion.
- Infection was attributed to a leak of gastric contents into the mediastinum.
- Antibiotic treatment based on sensitivity testing resulted in a positive clinical response.
Implications:
- This case highlights an unusual presentation of Salmonella infection.
- Esophageal damage can predispose to severe thoracic infections.
- Early diagnosis and targeted antibiotic therapy are crucial for managing such complex cases.