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
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.
Abscess; Male; Renal dialysis; Salmonella enteritidis; Splenic diseases
J Microbiol Immunol Infect. 2007;40:276-278.