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Abstract:
We are reporting an unusual case of disseminated Salmonella enteritidis D, phage group E2 infection in an 18-year-old male, which was resistant to massive antibiotic treatment. Rare complications such as pylephlebitis, mediastinal adenopathy, osteomyelitis with pathological clavicular fracture, osteitis and spondylitis were observed. We found an immunological defect that no doubt contributed to this severe illness.
Insights
This case report details a severe Salmonella enteritidis infection in an 18-year-old male, complicated by rare issues and antibiotic resistance. An underlying immunological defect was identified as a key factor in the illness severity.
Area of Science:
- Infectious Diseases
- Immunology
- Clinical Case Reports
Background:
- Salmonella enteritidis infections can lead to severe disseminated disease.
- Antibiotic resistance is a growing concern in managing bacterial infections.
- Immunological defects can predispose individuals to severe and recurrent infections.
Observation:
- An 18-year-old male presented with a disseminated Salmonella enteritidis D, phage group E2 infection.
- The infection was unusually resistant to extensive antibiotic therapy.
- Rare complications including pylephlebitis, mediastinal adenopathy, osteomyelitis with pathological clavicular fracture, osteitis, and spondylitis were observed.
Findings:
- The patient exhibited an unidentified immunological defect.
- This defect likely contributed significantly to the severity and complications of the Salmonella infection.
Implications:
- Highlights the importance of considering immunological evaluation in severe or recurrent bacterial infections.
- Underscores the challenges in treating antibiotic-resistant Salmonella strains.
- Suggests potential links between specific phage types of Salmonella and rare complications in immunocompromised individuals.