A case of cellulitis, thrombophlebitis and bacteremia caused bySalmonella group E

Javaloyas, M; garcía, Ma.D. Pérez; Sierra, Elizabeth Martínez; Domingo, Julio Angel Moreno

doi:10.1007/bf01967081

Cited by 8 publications

(3 citation statements)

References 4 publications

(2 reference statements)

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“…The most common sites of focal Salmonella infection are bones, joints, urinary tract, intraabdominal cavity, and rarely skin and soft tissues [ 6 ]. In fact, SSTI secondary to Salmonella non-typhi is seen in around 1.5% of Salmonella non-typhi cases [ 8 ] with a wide spectrum of clinical manifestations ranging from pustular lesions to subcutaneous abscesses and very rarely NF [ 6 , 9 – 11 ].…”

Section: Discussionmentioning

confidence: 99%

Salmonella typhimurium necrotizing fasciitis: a case report

et al. 2023

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Background Necrotizing fasciitis is an aggressive disease that causes necrosis in the muscular fascia and subcutaneous tissues. The infection spreads rapidly along the fascia and perifascial planes, followed by extension of the infection to nearby soft tissues and muscles. Necrotizing fasciitis can be attributed to different pathogens, namely Staphylococcus aureus, group A streptococci, and Clostridium perfringes. Only a few cases of skin and soft tissue infections from Salmonella species have been reported to date. Herein we report a case of Salmonella non-typhi necrotizing fasciitis, an exceedingly rare entity. This case report may serve as a potential management plan in similar cases in light of the scarcity of evidence. Case presentation A 20-year-old Caucasian male patient with congenital cardiac anomaly presented with diarrhea and unilateral lower extremity cellulitis causing septic shock. Cultures from blood and the bullae associated with the lower extremity cellulitis grew Salmonella typhimurium. Surgical debridement was performed. Intraoperative tissue cultures were positive for Salmonella typhimurium, and surgical pathology confirmed the diagnosis of necrotizing fasciitis. After a total of 6 weeks of appropriate antimicrobial therapy, another surgical debridement was executed for poor wound healing. New intraoperative cultures grew Fusarium species, and the patient received voriconazole with an adequate response. Immunologic studies showed humoral and cellular immunodeficiency. Conclusion It is important to maintain a high index of suspicion for rare entities that can cause skin and soft tissue infections, such as Salmonella non-typhi, in particular in immunosuppressed patients where a delay in diagnosis and management may have significant morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Salmonella typhimurium necrotizing fasciitis: a case report

et al. 2023

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“…These have, so far as we know, been described only once for Salmonella panama [10]. Furthermore, involvement of the superficial venous system is rare nowadays [2].…”

Section: Discussionmentioning

confidence: 99%

“…Zoonotic Salmonella may produce localized infections, among which suppurative abscesses/ulcers are uncommon [1–3]. We report a case of Salmonella panama infection in a varicose vein with superficial thrombophlebitis which resulted in a late bilateral pulmonary embolism.…”

Section: Introductionmentioning

confidence: 99%

In vitro activity of moxifloxacin against Stenottophomonas maltophilia blood isolates from patients with hematologic malignancies

Venditti¹,

Monaco

Micozzi

et al. 2001

Clinical Microbiology and Infection

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Effects of subinhibitory concentrations of antibiotics on biological properties ofSalmonella typhimurium

1994

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We followed the effects of subinhibitory concentrations (sub-MICs) of 7 antibiotics (ticarcilin, cefotaxim, streptomycin, gentamicin, ciprofloxacin, pefloxacin, mitomycin C) on the sensitivity of a Salmonella typhimurium strain to standard bacteriophages, on the phage DNA as well as on the factors of virulence (permeability and cytotoxic activity). The phage type was not changed by the sub-MICs of the tested antibiotics. However, differences were found in culture filtrates prepared from the bacterial suspensions of the strain cultivated with the sub-MICs. Marked inducing effects on phage DNA were exhibited by mitomycin C (1/2, 1/4, 1/8 of the MIC), pefloxacin (1/2, 1/4, 1/8 of the MIC) and ciprofloxacin (1/2, 1/4, weakly also 1/8 of the MIC). Ticarcilin (1/2 of the MIC), like the aminoglycosides streptomycin and gentamicin (1/2, 1/4, 1/8 of the MIC), had a weak effect. Sub-MICs of the studied antibiotics (with the exception of 1/8 of the MIC of ciprofloxacin and 1/4 of the MIC of ticarcilin) decreased the permeability reaction in rabbit skin. Most effective was streptomycin (1/2 of the MIC). Sub-MICs of the tested antibiotics (with the exception of 1/4 and 1/8 of the MIC of ciprofloxacin and 1/4 of the MIC of pefloxacin) caused also an inhibition of the factor responsible for morphological changes on Vero cells. Gentamicin and streptomycin were effective at all the sub-MICs tested.

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A case of cellulitis, thrombophlebitis and bacteremia caused bySalmonella group E

Cited by 8 publications

References 4 publications

Salmonella typhimurium necrotizing fasciitis: a case report

Salmonella typhimurium necrotizing fasciitis: a case report

In vitro activity of moxifloxacin against Stenottophomonas maltophilia blood isolates from patients with hematologic malignancies

Effects of subinhibitory concentrations of antibiotics on biological properties ofSalmonella typhimurium

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