Salmonella enterica Serovar Enteritidis Liver Abscess after Blunt Abdominal Trauma

Year 2017, Volume: 34 Issue: 5, 469 - 472, 01.09.2017

Agata Ladic İgor Petrovic Ante Gojevic Emil Kinda İvo Coza

Abstract

_Salmonella enterica serovar Enteritidis is among the most reported serotypes of Salmonella species worldwide, but is rarely reported as the causative agent of a liver abscess. Case Report_ We present a patient with an abdominal blunt trauma. An initial abdominal computed tomography scan revealed a rupture of the right kidney and of the liver. Two days later, his physical state deteriorated and a new computed tomography scan was obtained. An extremely large 8-centimetre liver abscess was verified. Due to the unsatisfying response to antibiotic therapy and percutaneous drainage, we operated on the patient. An appendectomy, cholecystectomy and bisegmental liver resection were performed. An intraoperative swab from the abscess was positive for Salmonella enterica serovar Enteritidis. The patient was given intravenous ciprofloxacine. The post-operative course was complicated by a Coagulase-negative Staphylococcus infection of the wound, which improved with antibiotic therapy. Conclusion_ Blunt abdominal trauma may initiate an unpredictable course of the disease in chronic Salmonella carriers_

Keywords

Salmonella enteritidis, liver, abscess

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