Abstract
Introduction: Pleuropulmonary with bony and cutaneous involvement of salmonella infection is a very rare condition and no case was ever reported in Lebanon. Case presentation: We report a case of 39-year-old immunocompetent man, with no past medical history, presented with a right bulging chest wall mass. The chest radiographs revealed pleural effusion and presence of a hypodense central necrosis at right lower lung field. Salmonella was identified from the cultures of fine needle aspiration (FNA) form the mass. After treating salmonella with adequate antibiotics, the patient was improved. Discussion: salmonella infection is a common bacterial disease that affects the intestinal tract. Infection may spread beyond the intestine causing many complications like in our reported case. Conclusion: we should suspect salmonellosis in any patient presenting with gastrointestinal symptoms followed by pleuropneumonia with chest wall infection.
Highlights
Pleuropulmonary with bony and cutaneous involvement of salmonella infection is a very rare condition and no case was ever reported in Lebanon.Case presentation: We report a case of 39-year-old immunocompetent man, with no past medical history, presented with a right bulging chest wall mass
Salmonella was identified from the cultures of fine needle aspiration (FNA) form the mass
Pulmonary and cutaneous infection due to Salmonella enteric is an extremely rare emerging infection occurring in the form of bronchopneumonia, with subcutaneous abscess
Summary
Salmonella belongs to the family Enterobacteriaceae that is motile Gram-negative, non-spore forming facultative anaerobic bacilli [1]. Salmonella enterica mostly causes enterocolitis and typhoid fever [2]. Salmonella Infection outside of the gastrointestinal tract remains uncommon. Pulmonary and cutaneous infection due to Salmonella enteric is an extremely rare emerging infection occurring in the form of bronchopneumonia, with subcutaneous abscess. Few cases were reported, the majority seen in immunocompromised patient (HIV positive), or associated with an underlying disease such as lung cancer, diabetes mellitus, pulmonary disease and osteomyelitis in sickle cell anemia [4]. We report a case of pulmonary salmonella infection with cutaneous involvement in a 39 years old immunocompetent patient, and a brief literature review about this topic
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