Systemic sclerosis with co-infection by Salmonella Michigan ST2065: a case report
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.cn114452-20240125-00052
   		
        
        	
        		- VernacularTitle:确诊系统性硬化症病例合并感染密执安沙门菌ST2065
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Min ZHU
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Yue LIU
			        		
			        		;
		        		
		        		
		        		
			        		Yu XU
			        		
			        		;
		        		
		        		
		        		
			        		Yu CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Hong LIU
			        		
			        		;
		        		
		        		
		        		
			        		Xuebin XU
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 复旦大学附属华山医院检验医学科,上海200040
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Diarrhea;
			        		
			        		
			        		
				        		Salmonella;
			        		
			        		
			        		
				        		Genome;
			        		
			        		
			        		
				        		Database
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Laboratory Medicine
	            		
	            		 2024;47(9):1079-1081
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	A 57-year-old male patient was admitted to Shanghai Huashan Hospital due to recurrent systemic sclerosis in May 2023. The patient presented with mild diarrhea (2-3 times per day) and was suspected of having concurrent infectious diarrhea. Fecal samples, after selective enrichment and isolation, identified a'non-A-F serogroup Salmonella′. Salmonella Michigan ST2065 was identified in the reference laboratory by serotyping, drug resistance phenotyping, whole genome sequencing and cross-referencing with the regional serotype database of Salmonella in China. Combined with drug resistance and virulence results, the strain was determined to exhibit a phenotype characterized by high drug resistance and low enterotoxin production. The patient was prescribed oral tigecycline for 7 days and was discharged with improved symptoms.