title: Salmonella dublin infection: a rare cause of spontaneous bacterial peritonitis and chronic colitis in alcoholic liver cirrhosis.
abstract: Salmonella dublin is a veterinary pathogen which rarely causes human illness, although reported human isolates have increased over the past two decades. This serovar of salmonella is unusually invasive and life-threatening, although the clinical pattern of human infection is not well known. We describe a 51-year-old cirrhotic patient who presented with severe liver failure, chronic diarrhoea and left-sided segmental colitis. Radiological and endoscopic findings suggested Crohn's colitis. During the hospital stay he developed a spontaneous bacterial peritonitis (SBP) and S. dublin was isolated in the ascitic fluid. Our report supports the view that this salmonella serovar should be kept in mind as a rare cause of SBP in cirrhotic patients, especially in those cases with chronic colitis resembling Crohn's disease.
authors.affiliation: Division of Gastroenterology (Liver Unit), University Hospital  Virgen Macarena, Seville, Spain. jmhg@cica.es
authors.forename: M
authors.initials: M
authors.lastname: Jiménez-Sáenz
authors.forename: B J
authors.initials: BJ
authors.lastname: Gómez-Rodriguez
authors.forename: I
authors.initials: I
authors.lastname: Carmona
authors.forename: J
authors.initials: J
authors.lastname: Rebollo
authors.forename: Y
authors.initials: Y
authors.lastname: Torres
authors.forename: J
authors.initials: J
authors.lastname: Rodriguez-Baños
authors.forename: J M
authors.initials: JM
authors.lastname: Herrerías-Gutiérrez
mesh_terms: D002908:Chronic Disease; D003092:Colitis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D003937:Diagnosis, Differential; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D012480:Salmonella Infections / Q000175:diagnosis* / Q000382:microbiology; D012477:Salmonella enteritidis / Q000302:isolation & purification