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Case Reports
. 2022 Jul 16;14(7):e26922.
doi: 10.7759/cureus.26922. eCollection 2022 Jul.

Disseminated Salmonella Infection in an Immunocompromised Patient

Coulter Small  1 , Adam Bria  1 , Nayrobi M Pena-Cotui  1 , Norman Beatty  1 , Alaina S Ritter  1
Affiliations
Case Reports

Disseminated Salmonella Infection in an Immunocompromised Patient

Coulter Small et al. Cureus. .

Abstract

Salmonella infection is a major public health concern worldwide. While non-typhoidal Salmonella serovars typically present with gastroenteritis, a disseminated infection may occur in high-risk individuals. After the initial invasion of the gastrointestinal mucosa, Salmonella spp. are capable of hematogenous dissemination throughout the body, leading to significant morbidity and mortality. We present a case of an immunocompromised patient with lower extremity abscesses, septic arthritis, and necrotizing fasciitis to highlight an uncommon presentation of disseminated Salmonella infection.

Keywords: gastroenteritis; immunocompromise; necrotizing fasciitis; salmonella infection; septic arthritis.

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Conflict of interest statement

The authors have declared financial relationships, which are detailed in the next section.

Figures

Figure 1
Figure 1. Original left hip computed tomography scan from the outside hospital
(A) Coronal view of the largest abscess collection (red arrow), measuring 8.3 x 3.7 x 6.7 cm and tracking from the symphysis pubis to the middle thigh (dashed-white line). (B) The aforementioned abscess is viewed from a sagittal image. (C) Severe cellulitis and diffuse myofascitis (white arrow) and additional abscess (gold arrow) in the buttock and posterior thigh.
Figure 2
Figure 2. Patient’s left leg on the day he arrived at our institution. Note the extensive edema and erythema on the medial aspect of the proximal thigh.
Figure 3
Figure 3. Extensive soft tissue (red arrows) and intraosseous (black arrows) gas around the left hip and hemipelvis, surrounding the left total hip arthroplasty.
Figure 4
Figure 4. Patient’s left leg approximately one month after irrigation and drainage.
See this image and copyright information in PMC

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