Salmonella typhimurium abscess of the chest wall.

Abstract

PATIENT:

Male, 73 FINAL DIAGNOSIS: Salmonella typhimurium abscess of the chest wall Symptoms: -

MEDICATION:

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.

CASE REPORT:

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: Gilda Tonziello, Romina Valentinotti, Enrico Arbore, Paolo Cassetti, Roberto Luzzati
• Journal: The American journal of case reports (Am J Case Rep) Vol. 14 Pg. 502-6 ( 2013) ISSN: 1941-5923 [Electronic] United States
• PMID: 24298305 (Publication Type: Journal Article)