scholarly journals Sacroiliitis caused by Salmonella typhi

2009 ◽  
Vol 3 (07) ◽  
pp. 564-568 ◽  
Author(s):  
Mehmet Ulug ◽  
Mustafa Kemal Celen ◽  
Mehmet Faruk Geyik ◽  
Salih Hosoglu ◽  
Celal Ayaz

Although the commonest manifestation of Salmonella infection is acute gastroenteritis, infection may spread to the blood-stream may and the illness can present with focal lesions in almost any organ with or without septicemia. We describe here a case of Salmonella typhi infection of a sacroiliac joint that was cured with ciprofloxacin therapy for six weeks. The patient was immunologically normal. Salmonella etiology was not suspected in this case, and the diagnosis was made only after bacterial isolation. Physicians should be aware of this rare manifestation of Salmonella infection, especially in endemic areas.

1996 ◽  
Vol 29 (5) ◽  
pp. 441-445 ◽  
Author(s):  
Maria Imaculada Muniz-Junqueira ◽  
José Tavares-Neto ◽  
Aluizio Prata ◽  
Carlos Eduardo Tosta

Antibody response to Salmonella typhi O and H antigens was evaluated in 24 individuals with either hepatointestinal or hepatosplenic schistosomiasis mansoni before and after typhoid vaccination, and compared with that of non-infected controls. Before vaccination, Schistosoma-infected patients showed a higher frequency of positive antibody to O antigen and the same frequency to H antigen when compared with that of healthy individuals. However, those with hepatosplenic schistosomiasis showed higher titres of antibody to H antigen than those with hepatointestinal disease or healthy individuals. Infected subjects, particularly those with hepatointestinal disease, showed a decreased response after typhoid vaccine. Tins diminished ability to mount an immune response towards typhoid antigens dining schistosomiasis may interfere ivith the clearance of the bacteria from blood stream and, therefore, play a role in the prolonged survival of salmonella as obsewed in some patients with chronic salmonellosis associated with schistosomiasis.


2012 ◽  
Vol 6 (1) ◽  
pp. 3-9
Author(s):  
Suzan I. Majeed ◽  
Khawlah J. Khalaf ◽  
Mazin K. Ameen

Data regarding the incidence, etiology and outcome of Bacteraemia taken from AL-Kindi hospital were collected, and compared the situation between the three years: 2007, 2008, 2009. A total number of blood samples was (505), from this number only (70) (13.8%) is positive. The rate of positivity was significant greater in 2009 (17.7%) than 2008 (11.8%) and 2007 (9.1%). The calculated incidence of significant episodes of bacteraemia was 12.6% .The five most commonly isolated microorganisms were: Salmonella typhi30(46.8%), Staphylococcus aureus 12 (18.7%), Escherichia coli 10 (15.6%),Klebsiella 4(6.2%) and Enterobacter sp.3(4.6%) varied throughout this period, significant increase was noted in 2009. The acquisition of blood stream infections was nosocomial in 8.5% of cases.60% of Salmonella typhi were Amoxicillin resistant. Also Staph.aureus isolates, 58%were resistant to Amoxicillin and Erythromycin. Cephalexin-resistant E.coli in70% of the isolates and Gentamycin-resistant Klebsiella occurred in 75% of the isolates. The incidence of BSI did not differ significantly from other reported studies.


2014 ◽  
Vol 11 (3) ◽  
pp. 200-206 ◽  
Author(s):  
Yuefang Li ◽  
Xinbao Xie ◽  
Xuebing Xu ◽  
Xiangshi Wang ◽  
Hailing Chang ◽  
...  

2018 ◽  
Vol 5 ◽  
pp. 39-44
Author(s):  
Nandalal Jaishi ◽  
Pramila Pathak ◽  
Pradeep Kumar Shah ◽  
Puspa Raj Dahal

Background: Bacteraemia can develop a broad array of complications that may be difficult to recognize initially and can increase morbidity. The study was thus conducted to identify the causative agents of bacteraemia and to assess antibiogram of the isolates among the patients suspected of blood stream infection visiting Everest hospital, New Baneshwor Kathmandu. Methods: Altogether 400 blood cultures were processed during March, 2015 to August, 2015. Standard Operating Procedures (SOPs) was followed during the processing of the specimens. Antibiotic susceptibility testing of bacterial isolates was done by Kirby Bauer disc diffusion method with Muller-Hinton agar using the guidelines and interpretive criteria of the Clinical and Laboratory Standards Institute (CLSI 2013). Result: The positivity of blood culture was found to be 48 (12%). Gram negative bacterial were found to be more predominant 27(56.2%) than gram positive bacteria 21(43.7%) in causing bacteraemia. The most prevalent isolate was Staphylococcus aureus 15 (31.2%) followed by Salmonella Paratyphi A 10 (20.8%) and Salmonella Typhi 8 (16.6%), E. coli & CoNS 4 (8.3%), Pseudomonas aeruginosa 3 (6.2%) and Klebsiella pneumoniae & Streptococcus pneumoniae 2 (4.1%) respectively. All gram-positive isolates were found to be sensitive to Cefoxitin, Ceftriaxone and Vancomycin followed by Ampicillin (90.42%), Erythromycin (85.71%), Ciprofloxacin (83.33%), Doxycycline (75%) and Cephalexin (70.58%) whereas gram negative isolates were sensitive to Ceftriaxone followed by Chloramphenicol (92%), Gentamicin (88.8%), Cefixime (85.71%), Ofloxacin (83.3%) and Amoxycillin and Ciprofloxacin (71.3%) Conclusion: The isolation of etiological agents of blood stream infection should be assessed by proper microbiological analysis and it would be helpful for controlling of the outbreaks of resistance strains through effective empirical therapy.


1960 ◽  
Vol 58 (3) ◽  
pp. 307-319 ◽  
Author(s):  
C. B. Gerichter

A dose of 5 × 109S. typhi (strain Ty2) and S. paratyphi B (strain HB3) administered to white mice orally, caused an infection of various organs of the mouse, namely: spleen, liver, kidneys, lungs, gall-bladder, mesenteric lymph nodes, jejunum and of the blood stream. The percentage of infected spleens was higher than that of other organs.With the above-mentioned dose of Ty2, the infection of the liver was found to be five times higher than that of the gall-bladder. The infection of the latter lasted for about 8–9 days, whereas that of the liver for 18–19 days.The bacteria appeared in the various organs: liver, spleen, kidneys, and lungs in about 2 min. after oral infection, and in the blood stream after about 20 sec.The speed and intensity of the invasion of micro-organisms from the gastrointestinal tract to the blood stream depends neither upon the volume of the dose (0·5 ml. or 0·1 ml.), nor upon the content of the mouse's stomach.The M.I.D. for the blood stream of the mouse by oral infection is about 5 × 105 bacteria for Ty2, HB3 and AH6.In blood samples collected by cardiac puncture 2–3 min. after oral infection, an average of 5 × 102 micro-organisms/ml. blood was found. The count of bacteria increased and reached its peak after 20 min. (about 3 × 103 bacteria). After that period, the number decreased: 1·6 × 103 after 1 hr., 8 × 102 after 2 hr. and 1·7 × 102 after 3 hr. In spite of this considerable decrease, the blood did not became sterile until after several days.In the infected spleen (by oral infection) an inverse process was observed: at the beginning only a small number of micro-organisms was found (about 5 × 10/100 mg. spleen), but afterwards the number of bacteria increased (1·2 × 102 after 24 hr. and 5 × 102 after 4 days).In mice infected by the subcutaneous route with a dose of 5 × 109 bacteria, the number of micro-organisms in the blood stream did not differ significantly from that found after oral infection, whereas infection by intraperitoneal route caused a severe infection. When 5 × 107 micro-organisms (LD50) were administered by intraperitoneal route, 107 bacteria appeared in the blood stream of the moribund mice while in the spleen about 4·1 × 107 were found.The author wishes to express his appreciation to Prof. I. Gurewitch and to Dr R. Rozansky from the Department of Clinical Microbiology, the Hebrew University-Hadassah Medical School, Jerusalem, for their advice and criticism.


Author(s):  
Saurabh Parauha ◽  
M. A. Hullur ◽  
Prashanth. A. S.

Typhoid fever is an acute illness associated with fever that is most often caused by the Salmonella typhi bacteria. Once the bacteria is ingested it quickly multiplies within the stomach, liver or gall bladder and finally enters the blood stream causing symptoms like fever, headache etc. these cases as of 2010 caused about 190000 deaths up from 137000 in 1990 in whole world, India, Pakistan and Egypt are also known high risk area for developing this disease. A clinical study comprising of 15 patients of either sex attending OPD clinic of AMVH Hubli and presenting with clinical manifestation of Typhoid confirmed by Widal test were selected for observational study. All the patients received Sanjivani Vati 2 tab. bid with Kiratadisapta Kashaya (20 ml) twice daily after food. It was given for 21 days and follow up period was of 1 month with weekly visit. From the result obtained we can conclude that therapy with this Ayurvedic combination of drugs shown significant relief (p less than 0.001) in symptoms after 21 days of treatment.


2020 ◽  
Vol 4 (02) ◽  
pp. 33-38
Author(s):  
M. Morsed Zaman Miah ◽  
Md. About Rafi ◽  
Md. Azizul Haque ◽  
Md. Kh. Faisal Alam

Background: The objective of the present study was to identify the causative organisms of blood stream infection (BSI) and their resistance pattern to different antibiotics as well as prevalence of multi drug resistant (MDR) organisms in this region. This retrospective study included blood culture reports from 1899 suspected bacteraemia patients. Culture was done using BACT/Alert machine followed by culture on MacConkey (MC) agar, chocolate agar and blood agar plates. Isolated organisms were identified using standard laboratory procedures. Results: Total 383 bacterial isolates were yielded (rate of positive culture 20.2%). Staphylococcus aureus (41.8%) and Escherichia coli (41.8%) were most frequently isolated gram positive and gram-negative organisms respectively. Other commonly isolated organisms were Salmonella typhi (10.7%) and coagulase negative Staphylococci (CoNS) (3.9%). More than 90% isolated organisms were multidrug resistant. Salmonella typhi (95.1%) and Staphylococcus aureus (91.2%) showed most frequently isolated MDR strains. All the organisms showed high resistance rate against commonly used antibiotics like azithromycin, ciprofloxacin, and trimethoprim/sulfamethoxazole. Amoxycillin and clavulanic acid combination, cloxacillin and linezolid were sensitive against Staphylococcus aureus. Ceftriaxone as well as amikacin remained a sensitive drug to treat Salmonella typhi. Carbapenems and nitrofurantoin were mostly sensitive against all isolated organisms. Conclusion: Rational use of antibiotics based on regional epidemiology of causative organisms and sensitivity pattern can preserve the potentiality of available antibiotics and reduce the burden of MDR pathogens.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
M. Shanthi ◽  
Uma Sekar ◽  
K. S. Sridharan

Salmonella typhiusually produces enteric fever and gastroenteritis. The infection may spread through blood stream and present as local suppurative lesions which may involve any site including the bone and joints. We report a case of septic arthritis of hip in a patient with systemic lupus erthematosis. The case is presented for its rarity and to highlight the atypical manifestations ofSalmonella typhiin endemic regions.


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