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Published on: September 22, 2019
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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
Summary
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.
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