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Community-onset pyomyositis caused by a Salmonella enterica serovar enteritidis sequence type 11 strain producing
Jeong-Hwan Hwang1, Gee-Wook Shin2, Chang-Seop Lee3
1Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Republic of Korea Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea.
Abstract:
We report a case of community-onset pyomyositis due to Salmonella enterica serovar Enteritidis in South Korea. The isolated strain was resistant to extended-spectrum cephalosporins and harbored sequence type 11 coproducing CTX-M-15 extended-spectrum β-lactamase (ESBL). Physicians should be alert for early diagnosis and appropriate treatment since ESBL-producing nontyphoidal Salmonella infections are difficult to treat without initiation of appropriate empirical antibiotics.
Insights
A rare case of pyomyositis caused by Salmonella Enteritidis was identified in South Korea. The bacteria showed resistance to common antibiotics, highlighting challenges in treating such infections.
Area of Science:
- Infectious Diseases
- Microbiology
- Antimicrobial Resistance
Background:
- Pyomyositis, a bacterial infection of the muscle, is typically caused by Staphylococcus aureus.
- Nontyphoidal Salmonella serovars are common causes of gastroenteritis but rarely lead to deep-seated infections like pyomyositis.
Observation:
- A case of community-onset pyomyositis was diagnosed in South Korea.
- The causative agent was identified as Salmonella enterica serovar Enteritidis.
Findings:
- The isolated Salmonella Enteritidis strain exhibited resistance to extended-spectrum cephalosporins.
- The strain harbored sequence type 11 and coproduced the CTX-M-15 extended-spectrum β-lactamase (ESBL).
Implications:
- This case underscores the emerging threat of ESBL-producing nontyphoidal Salmonella.
- Physicians need heightened awareness for early diagnosis and prompt, appropriate antibiotic treatment.
- Effective empirical antibiotic selection is crucial for managing these difficult-to-treat infections.
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