Pleural effusion in complicated Salmonella paratyphi A infection
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Published on: April 12, 2019
1Departments of Microbiology and Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. purvamathur@yahoo.com
Abstract:
Enteric fever can present with unusual manifestations. We observed a rare case of Salmonella paratyphi A infection in which multiple organs were involved and the organism was isolated from pleural fluid and blood. In the present era of antimicrobial drug resistance, awareness about such atypical presentations is essential to initiate a prompt treatment.
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.
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