Nontyphoidal Salmonella Hepatitis: A Rare Complication of a Common Enteric Infection.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY ACG Case Reports Journal Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI:10.14309/crj.0000000000001512
Matthew J Bierowski, Chelsea D Edirisuriya, Ilana P Goldberg, Nicholas Noverati, Peter Johnson, Cuckoo Choudhary, Raina Shivashankar
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Abstract

Hepatitis from nontyphoidal Salmonella gastroenteritis is rare, especially in immunocompetent patients. We present the case of a 30-year-old woman who was found to have Salmonella serotype C2 gastroenteritis and elevated liver function tests concerning for concurrent hepatitis. An extensive workup was negative for other etiologies, making Salmonella the likely culprit. The patient was managed with supportive measures as her liver function tests and symptoms were improving before obtaining microbiological data. Since the role of antibiotic therapy in such cases is not well studied, disease severity in accordance with current guidelines should be used to tailor treatment on a case-by-case basis.

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非亚型沙门氏菌肝炎:常见肠道传染病的罕见并发症。
由非伤寒沙门氏菌肠胃炎引起的肝炎非常罕见,尤其是在免疫功能正常的患者中。我们介绍了一例 30 岁女性的病例,她被发现患有沙门氏菌血清型 C2 型肠胃炎,肝功能检查结果升高,可能并发了肝炎。经过大量检查,其他病因均为阴性,因此沙门氏菌很可能是罪魁祸首。在获得微生物学数据之前,由于患者的肝功能检查和症状有所改善,因此对其采取了支持性措施。由于抗生素治疗在此类病例中的作用尚未得到充分研究,因此应根据现行指南中的疾病严重程度,根据具体病例制定治疗方案。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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