“…However, the S Typhimurium isolated from a sheep and Staphylococcus Anatum isolated from a goat were, to the authors' knowledge, the first isolations of salmonellae from hydatid cysts in animals. They have been isolated occasionally from human hydatids (Herbsman and others 1959, Matossian and Najjar 1968, Castagnari and Delia 1971, Sitaram and others 1990, Sadhu and others 1993, Aslam and others 2005). …”
Bacteria were isolated from 12 of 25 hydatid cysts collected from the lungs and livers of cattle, sheep and goats slaughtered in the province of Messina, Sicily, Italy. Citrobacter freundii was isolated from seven of the cysts, Aeromonas hydrophila from three, Staphylococcus species from two, Salmonella species from two and Escherichia coli and Proteus vulgaris from one.
“…However, the S Typhimurium isolated from a sheep and Staphylococcus Anatum isolated from a goat were, to the authors' knowledge, the first isolations of salmonellae from hydatid cysts in animals. They have been isolated occasionally from human hydatids (Herbsman and others 1959, Matossian and Najjar 1968, Castagnari and Delia 1971, Sitaram and others 1990, Sadhu and others 1993, Aslam and others 2005). …”
Bacteria were isolated from 12 of 25 hydatid cysts collected from the lungs and livers of cattle, sheep and goats slaughtered in the province of Messina, Sicily, Italy. Citrobacter freundii was isolated from seven of the cysts, Aeromonas hydrophila from three, Staphylococcus species from two, Salmonella species from two and Escherichia coli and Proteus vulgaris from one.
“…All cases were of a single liver abscess, and most had associated S. typhi infection. Some liver abscesses of S. typhi had coexisting liver diseases, including amoebic abscesses (10, 11), ecchinococcal cysts (12), and biliary obstruction (13).…”
Salmonellosis with liver abscess in a cirrhotic liver is extremely rare. We report the first case of Salmonellosis with septic shock and liver abscess in a diabetic and cirrhotic patient. The image studies of liver initially favored hepatocellular carcinoma. But no definite focus of sepsis was found. After close follow-up of the liver space-occupied lesion, ultrasound examination revealed the features of liver abscesses at space-occupied lesion later. Ultrasound-guided liver aspiration proved abscess. The clinical and radiological responses were good after antibiotics treatment.
Salmonella typhi is a rare cause of liver abscess. We describe a 47-year-old African male with multiple liver abscesses due to S. typhi in an area where hepatic amebiasis is endemic. The patient did not respond appropriately to amebicidal therapy and culture of the liver aspirate on two occasions yielded S. typhi. The Widal test, initially negative, became positive on repeat testing 10 days later. Percutaneous aspiration combined with appropriate antibiotic therapy resulted in a complete recovery. No predisposing cause could be found. We report the clinical, radiological, and microbiological features of this case and review the literature on this rare but easily treatable condition.
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