1887

Abstract

Non-typhoidal (NTS) that typically causes diarrhoeal disease in humans has a dramatically more severe and more invasive presentation than typhoid fever in immunocompromised adults. However, the incidence and significance of NTS primary bacteraemia in immunocompetent adults have been unclear.

A 24-year-old man presented to our hospital with a high fever 14 days after travelling to Vietnam and Cambodia for 14 days. His past medical history, family history and social history were unremarkable, except for his dietary intake history during his stay in Southeast Asia. He did not have any abdominal pain, diarrhoea, enterocolitis, arthritis, or abscesses, as determined by multiple examinations, which included computed tomography. The initial blood cultures identified the presence of Gram-negative bacilli, which were finally identified as the subspecies serovar Corvallis. Thus, serovar Corvallis was the most likely primary bacteria in this patient. Since domestic outbreaks of NTS infections are extremely rare, our case patient was diagnosed with travel-related bacteraemia. The patient had an uneventful recovery after antibiotic administration.

We report a rare case of bacteraemia caused by serovar Corvallis in an immunocompetent adult after travelling through Vietnam and Cambodia. From the experience of our case, we suggest that more caution is necessary when diagnosing the unique clinical features of travel-related NTS infections.

  • This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Loading

Article metrics loading...

/content/journal/acmi/10.1099/acmi.0.000009
2019-03-25
2024-05-01
Loading full text...

Full text loading...

/deliver/fulltext/acmi/1/1/acmi000009.html?itemId=/content/journal/acmi/10.1099/acmi.0.000009&mimeType=html&fmt=ahah

References

  1. Fierer J, Swancutt M. Non-typhoid Salmonella: a review. Curr Clin Top Infect Dis 2000; 20:134–157
    [Google Scholar]
  2. Shimoni Z, Pitlik S, Leibovici L, Samra Z, Konigsberger H et al. Nontyphoid Salmonella bacteremia: age-related differences in clinical presentation, bacteriology, and outcome. Clin Infect Dis 1999; 28:822–827 [View Article]
    [Google Scholar]
  3. Grimont PAD, Weill FX. In: Popoff MY, Le Minor L. (editors) Antigenic Formulas Of the Salmonella Serovars, 9th ed. Paris: World Health Organization Collaborating Centre for Reference and Research on Salmonella, Pasteur Institute; 20076–10
    [Google Scholar]
  4. Edwards PR, Hermann GJ. Two new Salmonella types; Salmonella corvallis and Salmonella colorado. J Bacteriol 1949; 58:111
    [Google Scholar]
  5. Archambault M, Petrov P, Hendriksen RS, Asseva G, Bangtrakulnonth A et al. Molecular characterization and occurrence of extended-spectrum beta-lactamase resistance genes among Salmonella enterica serovar Corvallis from Thailand, Bulgaria, and Denmark. Microb Drug Resist 2006; 12:192–198 [View Article]
    [Google Scholar]
  6. Taguchi M, Kawahara R, Seto K, Inoue K, Hayashi A et al. Plasmid-mediated quinolone resistance in Salmonella isolated from patients with overseas travelers' diarrhea in Japan. Jpn J Infect Dis 2009; 62:312–314
    [Google Scholar]
  7. Fischer J, Schmoger S, Jahn S, Helmuth R, Guerra B. NDM-1 carbapenemase-producing Salmonella enterica subsp. enterica serovar Corvallis isolated from a wild bird in Germany. J Antimicrob Chemother 2013; 68:2954–2956 [View Article]
    [Google Scholar]
  8. Hendriksen RS, Vieira AR, Karlsmose S, Lo Fo Wong DM, Jensen AB et al. Global monitoring of Salmonella serovar distribution from the World Health organization global foodborne infections network country data bank: results of quality assured laboratories from 2001 to 2007. Foodborne Pathog Dis 2011; 8:887–900 [View Article]
    [Google Scholar]
  9. Lay KS, Vuthy Y, Song P, Phol K, Sarthou JL. Prevalence, numbers and antimicrobial susceptibilities of Salmonella serovars and Campylobacter spp. in retail poultry in Phnom Penh, Cambodia. J Vet Med Sci 2011; 73:325–329 [View Article]
    [Google Scholar]
  10. Murakami K, Ishihara T, Horikawa K, Oda T. Features of Salmonella serovars among food handlers in Kyushu, Japan. New Microbiol 2007; 30:155–159
    [Google Scholar]
  11. Kollaritsch H. Traveller's diarrhea among Austrian tourists in warm climate countries: I. Epidemiology. Eur J Epidemiol 1989; 5:74–81 [View Article]
    [Google Scholar]
  12. Koch K, Kristensen B, Holt HM, Ethelberg S, Mølbak K et al. International travel and the risk of hospitalization with non-typhoidal Salmonella bacteremia. A Danish population-based cohort study, 1999–2008. BMC Infect Dis 2011; 11:277 [View Article]
    [Google Scholar]
  13. Gordon MA. Salmonella infections in immunocompromised adults. J Infect 2008; 56:413–422 [View Article]
    [Google Scholar]
  14. Jones TF, Ingram LA, Cieslak PR, Vugia DJ, Tobin-D'Angelo M et al. Salmonellosis outcomes differ substantially by serotype. J Infect Dis 2008; 198:109–114 [View Article]
    [Google Scholar]
  15. LaRock DL, Chaudhary A, Miller SI. Salmonellae interactions with host processes. Nat Rev Microbiol 2015; 13:191–205 [View Article]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/acmi/10.1099/acmi.0.000009
Loading
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error