title: Salmonella typhimurium abscess of the chest wall.
abstract: METHODS
  Male, 73 FINAL DIAGNOSIS: Salmonella typhimurium abscess of the chest wall Symptoms: -
  
  
  METHODS
  Ciprofloxacin Clinical Procedure:- Specialty: Infectious Diseases.
  
  
  OBJECTIVE
  Unusual clinical course.
  
  
  BACKGROUND
  Non-typhoid Salmonella extra-intestinal infections usually develop in infants and in adult patients with pre-existing predisposing conditions. Blood stream infections and urinary tract infections are the most common clinical presentations, but other sites of infection may be involved as well.
  
  
  METHODS
  We describe a case of invasive salmonellosis caused by Salmonella typhimurium involving the chest wall in a 73-year-old man. The patient had suffered from gastroenteritis followed by left basal pneumonia with pleural effusion 7 weeks before. The CT scan of the chest wall showed a pericostal abscess with shirt-stud morphology near the left last cartilaginous arch. The abscess was surgically drained and patient was cured after a 40-day ciprofloxacin treatment.
  
  
  CONCLUSIONS
  A review of the literature on extra-intestinal non-typhoid salmonellosis shows that pleuropulmonary and soft-tissue infections are uncommon. We argue that non-typhoid Salmonella might be considered as a possible cause of chest wall abscess in individuals with recent history of gastroenteritis complicated by pneumonia and pleural effusion.
authors.affiliation: Infectious Diseases Unit, University Hospital, Trieste, Italy.
authors.forename: Gilda
authors.initials: G
authors.lastname: Tonziello
authors.forename: Romina
authors.initials: R
authors.lastname: Valentinotti
authors.forename: Enrico
authors.initials: E
authors.lastname: Arbore
authors.forename: Paolo
authors.initials: P
authors.lastname: Cassetti
authors.forename: Roberto
authors.initials: R
authors.lastname: Luzzati
keywords: Salmonella; chest wall; infection; soft-tissue