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Volume 40, Number 3, June 2007

Gas-forming splenic abscess due to Salmonella enterica serotype Enteritidis in a chronically hemodialyzed patient


Peir-Haur Hung, Yen-Ling Chiu, Po-Ren Hsueh
Department of Internal Medicine, Chiayi Christian Hospital, Chiayi; Department of Internal Medicine, Far-Eastern Memorial Hospital, Taipei; and Departments of Laboratory Medicine and Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan

Received: February 1, 2007    Revised: February 14, 2007    Accepted: March 30, 2007   

 

Corresponding author:

Dr. Po-Ren Hsueh, Departments of Laboratory Medicine and Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, 7 Chung-Shan South Road, Taipei 100, Taiwan. E-mail: hsporen@ha.mc.ntu.edu.tw This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

 



 

Methods:

We describe a diabetic patient who was chronically hemodialyzed due to end-stage renal disease and developed a gas-forming splenic abscess and bacteremia caused by Salmonella enterica serotype Enteritidis. Fever persisted despite urgent splenectomy and intravenous ceftriaxone and metronidazole for 14 days. He recovered completely after intravenous ciprofloxacin/metronidazole treatment for a further 14 days. The isolate was susceptible to ciprofloxacin and ceftriaxone and did not exhibit extended-spectrum beta-lactamase phenotype.

 



 

Key words:

Abscess; Male; Renal dialysis; Salmonella enteritidis; Splenic diseases


 



 

J Microbiol Immunol Infect. 2007;40:276-278.