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Pleuro pulmonary infection with Salmonella group E
1Department of Microbiology, Maulana Azad Medical College, New Delhi, India.
Diagnostic Microbiology and Infectious Disease
|August 25, 1999
Summary
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.