Pleuropulmonary infections due to nontyphoid strains of Salmonella

Article Abstract:

Salmonella bacteria infections can be caused by typhoid and nontyphoid strains. Patients with typhoid fever characteristically have a dry cough, but salmonella typhi bacteria are not usually found in the sputum. Therefore, the pneumonia associated with typhoid is usually caused by another organism. Nontyphoid strains of salmonella have been isolated in some lung infections. This type of bacteria is not often suspected when considering organisms responsible for lung infections. The incidence of nontyphoid salmonella bacteria in lung infections was studied. Between 1960 and 1986, 11 cases of nontyphoid salmonella pneumonia were found in one hospital. There were eight patients over age 60 (73 percent). Four patients had acquired the infection during hospitalization. All patients had one or more underlying disease, such as cancer, kidney disease, diabetes, heart disease, immunosuppression and lung disease. In only two patients was the organism also isolated from stool, which suggests a source of transmission other than the intestines. The death rate was 63 percent. Nontyphoid salmonella bacteria should be considered in such cases, particularly in the elderly, even when other organisms are present. (Consumer Summary produced by Reliance Medical Information, Inc.)

Infection, Reports, Development and progression, Demographic aspects, Lungs, Lung, Salmonella, Pneumonia

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Aortic Dissection in a 5-Year-Old Girl With Marfan's Syndrome

Article Abstract:

A 5-year-old girl with Marfan's syndrome was treated for an aortic aneurysm. Marfan's syndrome is a genetic disease that affects connective tissues. It changes the elasticity of the tissue. The aorta is the main blood vessel leading from the heart and it is often affected by Marfan's syndrome. It can become bigger and some of the tissue layers inside the aorta can split apart. The medical term for this is aortic dissection, which can be fatal It is very uncommon in children. She was treated surgically.

Complications and side effects, Dissecting aneurysm, Aortic dissection, Marfan syndrome

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Long-term suppression of Salmonella aortitis with an oral antibiotic

Article Abstract:

It is presumed that if an aneurysm in the aortic arch, which is a ballooning out of the wall of the body's main artery as it leaves the heart with freshly oxygenated blood, is infected with Salmonella bacteria, then the afflicted patient will not survive without surgery and antibiotic therapy. Such a case is reported in a patient who refused surgery but has been doing well on the sulfa medication trimethoprim-sulfamethoxazole for over two years.

Drug therapy, Dosage and administration, Aortitis, Trimethoprim

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