Gas-forming splenic abscess due to Salmonella enterica serotype Enteritidis in a chronically hemodialyzed patient.
We describe a diabetic patient who was chronically hemodialyzed due to end-stage renal disease and developed a gas-forming splenic abscess and bacteremia caused by Salmonella enterica serotype Enteritidis. Fever persisted despite urgent splenectomy and intravenous ceftriaxone and metronidazole for 14 days. He recovered completely after intravenous ciprofloxacin/metronidazole treatment for a further 14 days. The isolate was susceptible to ciprofloxacin and ceftriaxone and did not exhibit extended-spectrum beta-lactamase phenotype.
Hung
Peir Haur
PH
Department of Internal Medicine, Chiayi Christian Hospital, Chiayi, Taiwan.
Chiu
Yen Ling
YL
Hsueh
Po Ren
PR
D018784:Abdominal Abscess / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology; D002443:Ceftriaxone / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012480:Salmonella Infections / Q000382:microbiology* / Q000503:physiopathology / Q000601:surgery; D012477:Salmonella enteritidis / Q000302:isolation & purification*; D013156:Splenectomy; D013158:Splenic Diseases / Q000382:microbiology* / Q000601:surgery
D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin; D002443:Ceftriaxone