Unusual presentations of Salmonella infections- A case series

Abstract

Introduction Salmonella predominantly causes gastroenteritis but it can cause many other serious infections ranging from osteomyelitis to infective endocarditis and meningitis. These infections are not explored much even in a typhoid endemic country like India. Case Series We have described six uncommon cases of Salmonellosis obtained from clinical specimens processed in our laboratory (from December 2021- September 2022) like urine, pus, tissue and aspirate (excluding blood and stool). We obtained two isolates of Salmonella Enterica, two isolates of Salmonella Paratyphi B, one isolate of Salmonella Typhi and one isolate of Salmonella species which we were unable to speciate. Sending the proper sample for culture will help in coming to the right diagnosis which will result in prompt treatment thus improving the clinical status of the patient. Conclusion We should be vigilant about the possibility of Salmonella causing infections other than enteric fever especially in patients who have chronic diseases or are immunocompromised so that timely treatment with right antimicrobials can be given.