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CerebralSalmonella typhimurium abscess in a patient with a stroke

Hirnabszeβ durch Salmonella typhimurium bei einer Patientin mit Apoplex

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Summary

A 59-year-old woman with renal failure was admitted in a coma with seizures. Computerized tomography (CT) revealed a frontal mass in the right cerebral hemisphere and on day 12 new low density areas had appeared in both the right and left hemisphere. Blood cultures on day 13 grewSalmonella typhimurium, and the patient died the next day. An autopsy showed cerebral infarction with abscess formation. The elusive features of non-typhoidSalmonella infections make it advisable to obtain blood and faecal cultures from susceptible patients with fever or focal disorders of unknown aetiology.

Zusammenfassung

Eine 59 Jahre alte Frau mit Nierenversagen wurde im Koma mit Krampfanfällen eingewiesen. Computertomographisch zeigte sich eine Läsion in der rechten Hemisphäre frontal; am Tag 12 waren neue Herde geringer Dichte in der rechten und linken Hemisphäre aufgetreten. Am Tag 13 wurde in der BlutkulturSalmonella typhimurium angezüchtet. Die Patientin verstarb am nächsten Tag. Autoptisch zeigte sich ein Hirninfarkt mit Abszedierung. Wegen der schwer faßbaren Erscheinungsformen der Infektionen durch nicht-Typus-Salmonellen erscheint es ratsam, bei empfänglichen Patienten mit Fieber oder ätiologisch ungeklärten Herd-Symptomen Blut- und Stuhlkulturen anzulegen.

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Authors and Affiliations

  1. Dept. of Medicine C., Aalborg Hospital, P. O. Box 365, DK-9100, Aalborg, Denmark

    H. Arentoft M.D. & N. K. Schønemann M.D.

  2. Dept. of Clinical Microbiology, Aalborg Hospital, P. O. Box 365, DK-9100, Aalborg, Denmark

    H. Schønheyder M. D.

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  1. H. Arentoft M.D.
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  2. N. K. Schønemann M.D.
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  3. H. Schønheyder M. D.
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Arentoft, H., Schønemann, N.K. & Schønheyder, H. CerebralSalmonella typhimurium abscess in a patient with a stroke. Infection 21, 251–253 (1993). https://doi.org/10.1007/BF01728903

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  • DOI: https://doi.org/10.1007/BF01728903

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