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Q J Med 1994; 87: 301-309
© 1994 Association of Physicians

research-article

Unusual manifestations of salmonellosis—a surgical problem

M.K. LALITHA and R. JOHN

Christian Medical College and Hospital Vellore, India

Address correspondence to Professor M.K. Lalitha, Department of Microbiology, Christian Medical College & Hospital, Vellore, Tamil Nadu 632 004, India

Received 12 January 1994 Accepted for publication 4 February 1994.

From January 1981 to December 1992, of 6250 cases of salmonellosis treated at the Christian Medeical college and Hospital, Vellore, India, 100 patients with focal pyogtenic infection caused by salmonellae required surgical intervention in addition to medical therappy. Thirty-one had involvement of the hepatobiliary system, and 10 more had other intra-abdominal infections. Involvement of bone and joint as well as soft tissue constituted 15% each. The site of infection in patients with soft tissue abscesses incleded skin (7)Parotid ,(2)thyroid, (3)Breast (1)inguinal node (1), Branchial sinus (1) and injectiion site (1). Three patients had arterial infections. Noteworthy among the cases of genital infections was one case of salmonella infection in a pre-exiting hydrocele, and one case of epididymo-orchitis with a loculated salmonella infection. Salmonella infection in a pre-existing ovarian cyst was seen in a patient with endometriosis. The salmonella serotypes most frequently encountered were S. typhi(36) and S.typhimurium(36) andS. paratyphi A (15). The importance of recongnition of these protean manifestations of salmonellosis in an endemic setting is discussed. The microbilogical evaluation of properly obtained specimens is mandatory in such unusual Pyogenic infections.


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