Pleural effusion in complicated Salmonella paratyphi A infection

P Mathur1, Renuka, L Simpson

  • 1Departments of Microbiology and Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. purvamathur@yahoo.com

Indian Pediatrics
|March 27, 2003
PubMed

Insights

A rare case of enteric fever caused by Salmonella paratyphi A involved multiple organs, with the bacteria found in pleural fluid and blood. Recognizing these unusual presentations is crucial for timely treatment, especially with rising antimicrobial resistance.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Enteric fever, commonly caused by Salmonella species, typically presents with gastrointestinal and systemic symptoms.
  • Atypical presentations of enteric fever are less common but can pose diagnostic challenges.

Observation:

  • A rare case of enteric fever was documented involving Salmonella paratyphi A.
  • The infection presented with multi-organ involvement, extending beyond typical manifestations.

Findings:

  • Salmonella paratyphi A was successfully isolated from both pleural fluid and blood samples.
  • This indicates a severe, disseminated form of the infection.

Implications:

  • Prompt recognition of unusual enteric fever presentations is vital for effective patient management.
  • Antimicrobial stewardship and awareness of resistant strains are critical in treating complex cases of Salmonella infections.

Related Concept Videos

Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
Pleural Effusion I: Introduction01:25

Pleural Effusion I: Introduction

Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
Pleura of the Lungs01:13

Pleura of the Lungs

The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...