Fatal Salmonella Septicaemia with Disseminated Intravascular Coagulation and Renal Failure

Glover, S. C.; Smith, C. C.; Porter, I. A.

doi:10.1099/00222615-15-1-117

Cited by 16 publications

(4 citation statements)

References 8 publications

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“…To our knowledge, this is the first report of lung abscess caused by NTS presenting in an immunocompetent healthy individual of the adult age group. Moreover, only one case report has been described in the literature documenting Salmonella serovar Abony to cause severe invasive disease, by means of disseminated intravascular coagulation, in an immunocompromised elderly patient [ 26 ]. We report for the first time an extraintestinal complication of lung abscess caused by Salmonella serovar Abony.…”

Section: Discussionmentioning

confidence: 99%

First Case of Lung Abscess due toSalmonella entericaSerovar Abony in an Immunocompetent Adult Patient

Pitiriga

Dendrinos

Nikitiadis

et al. 2016

Case Reports in Infectious Diseases

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In healthy individuals, nontyphoidal Salmonella species predominantly cause a self-limited form of gastroenteritis, while they infrequently invade or cause fatal disease. Extraintestinal manifestations of nontyphoidal Salmonella infections are not common and mainly occur among individuals with specific risk factors; among them, focal lung infection is a rare complication caused by nontyphoidal Salmonella strains typically occurring in immunocompromised patients with prior lung disease. We describe the first case of a localized lung abscess formation in an immunocompetent healthy female adult due to Salmonella enterica serovar Abony. The patient underwent lobectomy and was discharged after full clinical recovery. This case report highlights nontyphoidal Salmonellae infections as a potential causative agent of pleuropulmonary infections even in immunocompetent healthy adults.

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Section: Discussionmentioning

confidence: 99%

First Case of Lung Abscess due toSalmonella entericaSerovar Abony in an Immunocompetent Adult Patient

Pitiriga

Dendrinos

Nikitiadis

et al. 2016

Case Reports in Infectious Diseases

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“…Furthermore, the overall incidence of extraintestinal salmonellosis due to a particular serotype reflects the general prevalence of that serotype in the community which is in keeping with S. typhimurium being the commonest isolate recovered from extraintestinal sites despite its relatively low virulence. Several reports testify to the potential invasiveness of the serotype in the compromised host (Black, Kunz & Swartz, 1960a;Glover, Smith & Porter, 1982).…”

Section: Discussionmentioning

confidence: 99%

Extraintestinal salmonellosis

Wilkins

Roberts

1988

Epidemiol. Infect.

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Between 1969 and 1984, 6564 non-typhoid salmonella strains were isolated at the Liverpool Public Health Laboratory of which 194 (3.0%) were from extraintestinal sites. Blood (34%) and urine (32%) isolates accounted for two-thirds of these, with the remainder being recovered from pus and inflammatory tissue (23%), bone (5%), cerebrospinal fluid (5%) and sputum (3%). Certain serotypes tended to cause more invasive disease than others, i.e. Salmonella choleraesuis, S. dublin, S. london, S. virchow and S. panama: this association for S. london has not previously been described. The spectrum of disease caused by non-typhoid strains was broad. This survey confirms the importance of non-typhoid salmonellas as occasional causes of invasive disease and local sepsis outside the gastrointestinal tract.

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“…For example, pallor of the renal cortices is a feature of renal cortical necrosis, in which coagulative necrosis results in the development of patchy or diffuse sharply demarcated zones of pallor with hyperemic rims . It may also be seen in acute tubular necrosis and has been reported in cases of severe asphyxia and septicemia . Cortical pallor may also be a feature of acute renal failure, possibly due to the redistribution of blood flow away from cortical glomeruli .…”

Section: Discussionmentioning

confidence: 99%

Renal Cortical Pallor—A Useful Macroscopic Marker for Metabolic Derangements at Autopsy

Zhou

Yool

Byard

2013

Journal of Forensic Sciences

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Renal cortical pallor was studied as a potential marker at autopsy of diabetic ketoacidosis in 23 cases, hyperglycemic nonketotic coma in eight cases, and alcoholic ketoacidosis in five cases (vitreous humor glucose level≥11.1 mM; β-hydroxybutyrate level≥5 mM). Renal cortical pallor was noted on macroscopic examination in 10 of 23 cases of lethal diabetic ketoacidosis (43.5%), three of eight cases of fatal hyperglycemic nonketotic coma (37.5%), and in two of five cases of alcoholic ketoacidosis (40%). Histologic examination revealed basal vacuolization of renal tubular epithelial cells in 12 cases, Armanni-Ebstein lesions in 10, and osmotic nephrosis in three. Although renal cortical pallor did not appear to be a particularly sensitive marker for hyperglycemia or ketoacidosis, and did not correlate with the severity of these parameters, it may still represent a useful macroscopic marker for underlying metabolic conditions at autopsy and should therefore prompt measurement of vitreous humor glucose and β-hydroxybutyrate levels.

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Fatal Salmonella Septicaemia with Disseminated Intravascular Coagulation and Renal Failure

Cited by 16 publications

References 8 publications

First Case of Lung Abscess due toSalmonella entericaSerovar Abony in an Immunocompetent Adult Patient

First Case of Lung Abscess due toSalmonella entericaSerovar Abony in an Immunocompetent Adult Patient

Extraintestinal salmonellosis

Renal Cortical Pallor—A Useful Macroscopic Marker for Metabolic Derangements at Autopsy

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