免疫功能正常患者肠沙门氏菌性胸膜肺炎并发胸壁脓肿1例

Y. Sleiman
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摘要

简介:胸膜肺与骨和皮肤累及沙门氏菌感染是一种非常罕见的情况,没有病例报告在黎巴嫩。病例介绍:我们报告一例39岁免疫功能正常的男性,无既往病史,表现为右侧胸壁肿块。胸片显示右下肺野有胸腔积液和低密度中央坏死。从肿块的细针穿刺(FNA)培养物中鉴定出沙门氏菌。在用适当的抗生素治疗沙门氏菌后,患者得到了改善。讨论:沙门氏菌感染是一种常见的影响肠道的细菌性疾病。感染可能会扩散到肠道以外,引起许多并发症,就像我们报告的病例一样。结论:任何出现胃肠道症状并伴有胸壁感染的胸膜肺炎患者都应怀疑沙门氏菌感染。
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Pleuropneumonia with chest wall abscess due to salmonella enteric in immunocompetent patient: a case report
Introduction: Pleuropulmonary with bony and cutaneous involvement of salmonella infection is a very rare condition and no case was ever reported in Lebanon. Case presentation: We report a case of 39-year-old immunocompetent man, with no past medical history, presented with a right bulging chest wall mass. The chest radiographs revealed pleural effusion and presence of a hypodense central necrosis at right lower lung field. Salmonella was identified from the cultures of fine needle aspiration (FNA) form the mass. After treating salmonella with adequate antibiotics, the patient was improved. Discussion: salmonella infection is a common bacterial disease that affects the intestinal tract. Infection may spread beyond the intestine causing many complications like in our reported case. Conclusion: we should suspect salmonellosis in any patient presenting with gastrointestinal symptoms followed by pleuropneumonia with chest wall infection.
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