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.

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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