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Salmonella abscess. A potential nosocomial hazard

D H Gremillon, R Geckler, C Ellenbogen

    Archives of Surgery (Chicago, Ill. : 1960)
    |July 1, 1977
    PubMed

    Insights

    Salmonella abscesses are rare but can cause hospital outbreaks. Early recognition and proper hygiene are crucial for managing these infections and preventing spread.

    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Clinical Medicine

    Background:

    • Abscess formation by Salmonella species is an uncommon but significant manifestation of salmonellosis.
    • Localized Salmonella infections can act as reservoirs for nosocomial outbreaks.
    • Early recognition and management are essential for controlling the spread of Salmonella.

    Observation:

    • Three patients presented with Salmonella abscesses, initially misdiagnosed.
    • Two patients developed postoperative Salmonella infections following surgery for cholelithiasis and appendicitis.
    • A third patient was diagnosed with Salmonella orchitis, initially presenting as traumatic epididymitis.

    Findings:

    • Appropriate antibiotic therapy was effective in two of the three cases.
    • One case of Salmonella abscess resolved spontaneously without specific intervention.
    • Despite delayed diagnosis and treatment, no nosocomial infections were linked to these patients.

    Implications:

    • Highlights the importance of considering Salmonella in unexplained abscesses.
    • Emphasizes the need for stringent infection control measures, including wound care and hand hygiene.
    • Underscores the potential for Salmonella to cause localized infections that require prompt identification and management to prevent wider transmission.

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