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Intramesenteric abscess caused by non-typhoidal Salmonella

Connie Au1, Shannon Skochko2, Anthony Hung Chau2,3

  • 1University of California Irvine School of Medicine, Irvine, CA, USA.

Idcases
|June 13, 2022
PubMed

Insights

Nontyphoidal Salmonella (NTS) rarely causes intra-abdominal abscesses. This case highlights the diagnostic challenges and importance of prompt treatment for invasive NTS infections, especially in immunocompromised individuals.

Area of Science:

  • Infectious Diseases
  • Surgical Infections
  • Microbiology

Background:

  • Nontyphoidal Salmonella (NTS) commonly causes gastroenteritis.
  • Intra-abdominal abscesses or surgical site infections (SSIs) due to NTS are rare, complicating diagnosis and management.
  • Immunocompromised individuals (e.g., with diabetes or HIV) are at higher risk for invasive NTS.

Observation:

  • This report details a unique case of an intra-mesenteric abscess caused by NTS species.
  • Early clinical signs and radiographic findings of intra-abdominal abscesses can be challenging to interpret.
  • Prompt diagnosis and treatment are crucial for preventing severe outcomes.

Findings:

  • NTS is an uncommon cause of intra-abdominal abscesses.
  • Treatment typically involves intravenous antibiotics and operative or percutaneous drainage.
  • High clinical suspicion is necessary for timely intervention.

Implications:

  • This case expands the known spectrum of NTS infections.
  • Highlights the need for considering NTS in intra-abdominal infections, particularly in at-risk populations.
  • Emphasizes the importance of early diagnosis and multidisciplinary management to reduce morbidity and mortality.
Keywords:
AbscessIntraabdominal infectionSalmonellaSurgical drainage

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