Salmonella enteritidis bacteraemia as clinical onset of acquired immune deficiency syndrome.
Rev Esp Anestesiol Reanim. 2013 Feb;60(2):103-5.
Article in Spanish
Ayelo Navarro A1, Gerónimo Pardo M, Torres Lamberti V, Mateo Cerdán CM, Jiménez Vizuete JM, Peyro García R.
1Sección de Anestesia y Reanimación, Hospital General de Almansa, Almansa, Albacete, España. firstname.lastname@example.org
The case is presented of a 38 year-old patient who was admitted in the Emergency Department due to a severe acute respiratory failure and who was transferred to the Critical Care Unit with a suspected initial diagnosis of community acquired pneumonia caused by an atypical microorganism, which was complicated with an acute respiratory distress syndrome.
This was able to be treated with non-invasive mechanical ventilation. At 48 hours after admission, the growth of Gram negative bacilli in the blood culture was reported, which was subsequently identified as Salmonella enteritidis.
This information, along with the lymphopenia suffered by the patient, suggested an immunodepressed state, thus serological tests were performed which showed positive for HIV.
Antibiotic treatment was started based on the microbiological findings, with a favourable clinical outcome for the patient.
Entry filed under: Antimicrobianos, Bacterias, Bacteriemias, Epidemiología, F.O.D, HIV/SIDA, HIV/SIDA Infecciones Oportunistas, HIV/SIDA Laboratorio, HIV/SIDA Trastornos GI, Infecciones gastrointestinales, Infecciones y Alimentos, Metodos diagnosticos, Sepsis.