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BMJ Case Reports 2013; doi:10.1136/bcr-2013-008773
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Non-typhoidal Salmonella severe sepsis in an immunocompetent young woman

  1. João Correia
  1. Department of Medicine, Centro Hospitalar do Porto-Hospital de Santo António, Porto, Portugal
  1. Correspondence to Dr Joana Ramalho, jasorblue{at}gmail.com

Description

A previously healthy, immunocompetent 24-year-old woman presented with onset of diarrhoea (without blood or mucus), vomiting and abdominal pain within 6 h of evolution. She stated a consumption of well water and tomato pulp a few days ago and no recent history of travel abroad.

At hospital admission, she was dehydrated, with shivering, tachycardia, hypotension and painful abdominal palpation, but without signs of peritoneal irritation.

In …

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