Salmonella dublin infection: a rare cause of spontaneous bacterial peritonitis and chronic colitis in alcoholic liver cirrhosis.
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.
Jiménez-Sáenz
M
M
Division of Gastroenterology (Liver Unit), University Hospital  Virgen Macarena, Seville, Spain. jmhg@cica.es
Gómez-Rodriguez
B J
BJ
Carmona
I
I
Rebollo
J
J
Torres
Y
Y
Rodriguez-Baños
J
J
Herrerías-Gutiérrez
J M
JM
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