2.A Case of Neck Abscess Caused by Salmonella Serotype D in a Patient with Liver Cirrhosis.
Mee Hye KWON ; Mi Il KANG ; Ji Young CHUN ; Hyun Woo LIM ; Yoon Sik YEUM ; Young Woo KANG ; Young Jin KIM ; Young Keun KIM
Yonsei Medical Journal 2010;51(1):128-130
Non-typhoidal salmonellosis, which is increasing nowadays in Korea as well as in the developed countries, is manifested as enteritis in most cases, but it also encompasses bacteremia, intraabdominal infections, and bone, joint and soft tissue infections. These rare diseases are known to result from primary gastrointestinal infection and subsequent bacteremia with or without symptoms. We experienced a case of neck abscess caused by Salmonella serotype D, which is a rare but important differential diagnosis of neck abscess. We herein report it.
Abscess/*diagnosis/*microbiology
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Aged
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Female
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Humans
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*Liver Cirrhosis
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Neck/*microbiology/*pathology
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Salmonella/*physiology
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Salmonella Infections/*complications
3.Pleural empyema due to Salmonella: a case report.
Myung Soo RIM ; Chang Min PARK ; Kyung Haeng KO ; Sung Chul LIM ; Kyung Ok PARK
The Korean Journal of Internal Medicine 2000;15(2):138-141
Pleuropulmonary involvement of salmonella infection is very rare and only two cases of salmonella empyema have been reported in Korea. We report the case of a 70-year-old female diabetic patient who presented with right flank pain and right lower chest pain. The chest radiographs revealed fibrostreaky and hazy density at right lower lung field and blunting of right costophrenic angle. Thoracentesis revealed turbid yellowish fluid. Salmonella group B was identified from the cultures of blood and pleural fluid. After antimicrobial therapy and repeated therapeutic thoracentesis, the patient was improved.
Aged
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Case Report
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Empyema, Pleural/etiology+ACo-
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Female
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Human
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Salmonella Infections/drug therapy
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Salmonella Infections/complications+ACo-
4.Psoas Abscess Caused by Non-Typhoid Salmonella in a Patient with Severe Aplastic Anemia.
Chin Chi KUO ; Shih Chi KU ; Jann Tay WANG ; Ching Wei TSAI ; Vin Cent WU ; Wen Chien CHOU
Yonsei Medical Journal 2010;51(3):472-474
The clinical spectrum of infections caused by non-typhoid Salmonella spp. includes gastroenteritis, enteric fever, bacteremia, and extraintestinal localized complications, especially in immunocompromised hosts. Here we report a patient with severe aplastic anemia developing left iliopsoas abscess caused by non-typhoid Salmonella (NTS), which was successfully treated by prolonged antibiotic treatment and repeated debridement. Our data indicate that aplastic anemia is a risk factor for infection caused by NTS.
Anemia, Aplastic/*complications/microbiology
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Humans
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Male
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Middle Aged
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Psoas Abscess/*etiology/*microbiology
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Salmonella Infections/*complications
6.A Case of Sepsis and Acute Renal Failure Associated with Salmonella Enterocolitis.
Chul Han KIM ; Ki Tae SUK ; Jae Woo KIM
The Korean Journal of Gastroenterology 2008;52(2):110-114
Salmonella infection can cause an asymptomatic intestinal carrier state or clinical diseases such as enterocolitis presenting abdominal pain, fever, vomiting, or diarrhea. Salmonella usually invades Peyer's patch of terminal ileum or ascending colon. Sepsis is not common and acute renal failure secondary to rhabdomyolysis is rare. The causes of rhabdomyolysis are trauma, excessive exercise, alcohol, seizure, metabolic abnormality, and infection. Infections account for less than 5% of the reported causes of rhabdomyolysis and resulting acute renal failure. The mechanisms underlying rhabdomyolysis due to infection are direct muscle invasion, toxin production, and nonspecific effects that can occur with infections such as fever, dehydration, acidosis, and electrolyte imbalance. We report a case of sepsis and acute renal failure secondary to rhabdomyolysis associated with Salmonella infection.
Colonoscopy
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Enterocolitis/complications/*diagnosis
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Humans
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Kidney Failure, Acute/*diagnosis/etiology
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Male
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Middle Aged
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Rhabdomyolysis/diagnosis/etiology/microbiology
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Salmonella Infections/complications/*diagnosis
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Sepsis/*diagnosis/etiology
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Tomography, X-Ray Computed
7.Salmonella related mycotic aneurysm with psoas and paraortic abscess treated conservatively.
Azlina Abu BAKAR ; C S NGIU ; M S Mohamad SAID ; Petrick PERIYASAMY
Annals of the Academy of Medicine, Singapore 2011;40(10):467-468
Aneurysm, Infected
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etiology
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microbiology
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physiopathology
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Aorta, Abdominal
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diagnostic imaging
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physiopathology
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Comorbidity
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Female
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Humans
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Psoas Abscess
;
etiology
;
microbiology
;
physiopathology
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Psoas Muscles
;
diagnostic imaging
;
physiopathology
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Radiography
;
Salmonella
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isolation & purification
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Salmonella Infections
;
complications
8.A Clincial Analysis of Acalculous Cholecystitis.
Byeong Yul AHN ; Young Kook YUN ; Yoon Jin WHANG ; Soo Han JUN ; Wan Sik YU ; Jung Bum LEE
Journal of the Korean Surgical Society 1997;53(4):579-587
Acalculous cholecystitis is an inflammation of the gallbladder in the absence of gallstones. Diagnosing this condition is often difficult because of the patient's debilitated medical condition and because of the limitation of biliary imaging technique. Nonetheless, its recognition and therapy are critically important, for if left untreated, many patients will die. During 10 years and 6 months from January 1986 to June 1996, 52 patients underwent assessment and treatment for acalculous cholecystitis at the Department of Surgery, Kyungpook National University Hospital. A clinical analysis of those patients was done and the following results were obtained: The incidence rate was 3.5%. The most prevalent age group was the seventh decade (13cases), and the male-to-female ratio was 1.4 : 1. Possible etiologic factors were found in 25 cases (48.1%). These factors were surgery in 5 cases (9.6%), trauma in 5 cases (9.6%), sepsis in 5 cases (9.6%), clonorchiasis in 5 cases (9.6%), and others in 5 cases(9.6%). Neither Ascariasis nor Salmonellosis was found as a predisposing factor in this study.The main cardinal symptoms and physical signs were similar to those of calculous cholecystitis. The sensitivities of diagnostic imaging by ultrasonography and computed tomography were 88.4% and 100%, respectively. Of the 52 patients, 46 cases underwent cholecystectomy, and 6 cases were initially treated by percutaneous transhepatic cholecystostomy. Of these 6 cases, two patients had cholecystostomies during subsequent abdominal operations for other conditions. Two patients had the cholecystostomy tube removed 2 months after an uneventful recovery and have had no further biliary problems. The other two patients died. The operative findings were cholecystitis only in 26 cases (56.5%), cholecystitis with localized peritonitis in 18 cases (39.1%), and cholecystitis with generalized peritonitis in 2 cases (4.3%). Postoperative complications occurred in 16 cases (34.8%), and wound infection was the most common complication (62.5% of all complications).The overall mortality was 9.6%. Conclusively, acalculous cholecystitis had high morbidity and mortality in this study. Once the diagnosis of acalculous cholecystitis is made, the gallbladder should be drained or removed. A decision as to the best approach depends on the specific situation and will require close cooperation between the internist, the surgeon, and the radiologist.
Acalculous Cholecystitis*
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Ascariasis
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Causality
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Cholecystectomy
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Cholecystitis
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Cholecystostomy
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Clonorchiasis
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Diagnosis
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Diagnostic Imaging
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Gallbladder
;
Gallstones
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Gyeongsangbuk-do
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Humans
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Incidence
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Inflammation
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Mortality
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Peritonitis
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Postoperative Complications
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Salmonella Infections
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Sepsis
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Ultrasonography
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Wound Infection
9.Aortic stent graft infection in a patient with Marfan syndrome.
Wei-guo FU ; De-bing SHI ; Yu-qi WANG ; Da-qiao GUO ; Bin CHEN ; Zhen-yu SHI
Chinese Medical Journal 2007;120(10):935-937
10.Cervical Epidural Abscess Secondary to Aorto-Duodenal Fistula: A Case Report.
Hyeong Joong YI ; Seong Hoon OH ; Oh Jung KWON ; Hyuk KIM
Journal of Korean Medical Science 2003;18(1):116-119
Although cervical epidural abscess is rare, it should be strongly suspected in any patient with unexplainable neck pain and fever, especially when the patient has a predisposing factor for this infectious process. The authors report a case of cervical epidural abscess in a 39-yr-old man with an aorto-duodenal fistula, which complicated the interposition of artificial graft for abdominal aortic aneurysm rupture, which had undertaken 40 months before. Timely detection and intervention rendered him a full neurological recovery. This extremely rare case is presented with a literature review.
Adult
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Aneurysm, Dissecting/complications
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Aneurysm, Dissecting/surgery
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Aortic Aneurysm, Abdominal/complications
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Aortic Aneurysm, Abdominal/surgery
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Aortic Diseases/complications*
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Aortic Rupture/complications
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Aortic Rupture/surgery
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Blood Vessel Prosthesis Implantation
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Cervical Vertebrae*
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Duodenal Diseases/complications*
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Duodenal Ulcer/complications
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Enterococcus
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Epidural Abscess/etiology*
;
Epidural Abscess/microbiology
;
Epidural Abscess/surgery
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Fistula/complications*
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Gram-Positive Bacterial Infections/complications
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Human
;
Male
;
Peptic Ulcer Perforation/complications
;
Salmonella Infections/complications
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Staphylococcal Infections/complications