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CASE REPORT
Salmonella enterica serovar enteritidis peritonitis with spontaneous intestinal perforation in an immunocompetent patient
  1. Marion Hélias,
  2. Jérôme Planchon,
  3. Aurore Bousquet and
  4. Clément Dubost
  1. Hopital d’Instruction des Armees Begin, Saint Mande, France
  1. Correspondence to Dr Clément Dubost, clement.dubost{at}hotmail.fr

Abstract

Few data reported non-typhoidal Salmonella peritonitis in immunocompromised patients. We reported the case of a man without immunosuppression or predisposing factor, who developed Salmonella enterica serovar Enteritidis peritonitis with spontaneous intestinal perforation. After emergent surgery, the patient was transferred to intensive care unit (ICU) because of respiratory, renal and haemodynamic failures. When S. enterica serovar Enteritidis was identified, antibiotics were de-escalated for ceftriaxone and metronidazole for 5 days. No immunosuppression was found. Evolution was favourable, and the patient has been discharged from the ICU on day 8. The originality of this case arises from a perforation peritonitis secondary to S. enterica without any immunosuppression. In absence of non-Typhi Salmonella data, we treated this patient as a typhoid perforation: surgical treatment, antibiotic association and supportive care.

  • adult intensive care
  • hepatitis and other GI infections
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Footnotes

  • Contributors Reporting: MH. Analysis of data: JP. Interpretation of data: AB. Design: CD.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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