PDF(Pubmed)
Abstract：
In this case report, we describe a rare case of non-typhoidal Salmonella bacteremia in an 87-year-old woman with no apparent history of daily Salmonella exposure. The patient presented with fever, body discomfort, and diarrhea. Medical examinations ruled out usual sources of Salmonella, including raw food consumption and pet contact. Her medical history included postoperative sigmoid colon cancer, left breast cancer, and other ailments. Although Salmonella infection typically stems from oral intake, this case suggests that bacterial translocation from the gastrointestinal tract could be the primary cause, potentially exacerbated by the patient\'s age and medical history. Another hypothesis is an ascending infection from diarrhea to the urinary tract, which might have led to pyelonephritis and subsequent bacteremia. This case highlights the importance of recognizing the potential for severe infections such as sepsis in older individuals presenting with diverse symptoms. Therefore, this case further underscores the need for heightened clinical vigilance, especially in community hospitals, to ensure timely and appropriate management of such severe conditions in the older population.
摘要：
在这个案例报告中,我们描述了一例罕见的非伤寒沙门氏菌菌血症病例,该病例发生在一名87岁女性中,无明显的每日沙门氏菌暴露史.病人出现发烧，身体不适,和腹泻。体检排除了沙门氏菌的常规来源,包括生食消费和宠物接触。她的病史包括术后乙状结肠癌，左乳腺癌,和其他疾病。尽管沙门氏菌感染通常源于口服，这种情况表明胃肠道的细菌易位可能是主要原因，患者的年龄和病史可能会加剧。另一个假设是从腹泻到泌尿道的上升感染，这可能导致肾盂肾炎和随后的菌血症。该病例强调了认识到在表现出不同症状的老年个体中发生严重感染如败血症的可能性的重要性。因此,此案进一步强调了提高临床警惕性的必要性，尤其是在社区医院，确保及时和适当地管理老年人口的这种严重状况。
