A CASE STUDY: SALMONELLA-INDUCED SMALL BOWEL OBSTRUCTION AND SEPTIC SHOCK

Trọng Thắng Khổng , Phi Tùng Nguyễn , Minh Thanh Bùi , Tấn Được Nguyễn , Thị Loan Phan , Tấn Hiền Cao , Thị Thanh Hiền Nguyễn , Thị Huyên Nguyễn

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Abstract

We present a rare and severe case of Salmonella infection in a 26-year-old male patient, demonstrating symptoms of gastrointestinal infection, acute kidney injury, and septic shock. Clinical manifestations and imaging depict a scenario of small bowel obstruction. The patient was prioritized for internal resuscitation, with surgical intervention postponed and close abdominal monitoring. Following an intensive 12-hour resuscitation regimen involving antibiotics, fluid replacement, and continuous renal replacement therapy (CRRT), the patient's condition notably improved. Blood and stool cultures revealed the presence of Salmonella bacteria. The patient underwent successful internal medical treatment and was discharged after 14 days.

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References

1. Centers for Disease Control and Prevention (CDC) (2023). Salmonella for Health Professionals [https://www.cdc.gov/ salmonella/general/technical.html]
2. Marchello CS, Birkhold M, Crump JA (2022). Complications and mortality of non-typhoidal salmonella invasive disease: a global systematic review and meta-analysis. The Lancet Infectious diseases, 22(5):692-705.
3. Qamar FN, Hussain W, Qureshi S (2022). Salmonellosis Including Enteric Fever. Pediatric clinics of North America, 69(1):65-77.
4. Nga TVT, Duy PT, Lan NPH, Chau NVV, Baker S (2018). The Control of Typhoid Fever in Vietnam. The American journal of tropical medicine and hygiene 2018, 99(3_Suppl):72-78.
5. Dang-Xuan S, Nguyen-Viet H, Pham-Duc P, Unger F, Tran-Thi N, Grace D, Makita K (2019). Risk factors associated with Salmonella spp. prevalence along smallholder pig value chains in Vietnam. International journal of food microbiology, 290:105-115.
6. Sandhu S, Alhankawi D, Prajapati D (2022). Salmonella typhimurium as a Rare Cause of Small Bowel Obstruction. Journal of community hospital internal medicine perspectives, 12(4):111-113.
7. Onderko L, Diamond-Falk KJP (2018). A Case of Salmonella and a Small Bowel Obstruction, 142(1_MeetingAbstract):709-709.