Fatal septic thrombophlebitis due toSalmonella enteritidis

Abstract

The case is reported of a patient with gastric adenocarcinoma with metastases who developed a septic focus in a saphenous vein. Salmonella enteritidis was cultured from blood, sputum and stool specimens, and from a thrombus removed from a varicosity of the saphenous vein. Extraintestinal infections caused by non-typhoid salmonella usually afflict debilitated and immunocompromised patients. Metastatic septic foci may appear anywhere in the organism, including the vascular system, but involvement of the venous system has not previously been reported.

Salmonella Bacteremia Causing Mycotic Pseudoaneurysm of Right Common Iliac Artery Complicated by Septic Caval Thrombosis

“…In addition to other novel sites described in literature like cerebral veins and saphenous vein, we add transcompartmental involvement of the IVC with septic thrombophlebitis as one another unique complication. 8 9 …”

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

“…We believe that the period of diarrhea coincided with a bacteremia causing local infection in the varicose vein and superficial thrombophlebitis and ulceration, later causing the bilateral pulmonary embolism as a metastatic manifestation. In almost 10% of cases of invasive salmonellosis there is involvement of endothelial surfaces, with a rising incidence of 25% in patients over 50 years of age [3].…”

“…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.…”