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Analysis of physical and laboratory findings in nontyphoidal salmonellosis


Nontyphoidal salmonellosis has a wide variety of clinical presentations. With the aim of describing the detailed clinical presentations of gastroenteritis caused by nontyphoidal Salmonella spp., findings for 126 patients (1–94 years of age; 37.0 years on average) were analyzed. Nontyphoidal salmonellosis is prevalent from April to October in Akita, when the mean atmospheric temperature exceeds 10°C. On physical examination, 3 patients had rebound tenderness and muscle guarding on their abdominal wall; 1 of these patients underwent surgery for associated acute appendicitis. Elderly patients tended to be more seriously affected, resulting in severe dehydration. Elevation of the serum C-reactive protein (CRP) level correlated well with a decline in the platelet count. Although nontyphoidal salmonellosis is a common cause of acute gastroenteritis, thorough investigation and meticulous care are required so that conditions requiring surgical treatment or those that are potentially fatal are not overlooked.

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Received: October 22, 2001 / Accepted: April 8, 2002

Acknowledgments The authors thank Mr. Mitsuhiro Izumi, Mr. Kouichi Abe, Ms. Yoshiko Hosaka, Ms. Miyoshi Suzuki, Mr. Masaaki Asano, and Ms. Noriko Ohkubo for secretarial assistance during this study.

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Kayaba, H., Kodama, K., Shirayama, K. et al. Analysis of physical and laboratory findings in nontyphoidal salmonellosis. J Infect Chemother 8, 232–236 (2002).

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  • Key words Salmonellosis Gastroenteritis Laboratory findings