ISSN:
1433-7339
Keywords:
Salmonella infections
;
Cancer and infection
;
Bacteremia
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Data concerning 40 patients hospitalized in a cancer center andSalmonella infection were analyzed. Hematological malignancy was present in 24 patients (60%) and solid tumor in 14 patients (35%). Among the predisposing factors, antineoplastic chemotherapy was the most frequent (60%) followed by antacid use (47.5%), corticosteroids (37.5%), granulocytopenia below 500 neutrophils/μl (15%), surgery (10%) and splenectomy (2.5%). Bacteremia was the most frequent clinical syndrome accounting for 42.5% of the patients. Focal infection, enteritis and carrier state accounted for the remaining 30%, 20% and 7.5% respectively.Salmonella typhimurium andS. dublin represented 65% of the isolates, with clear association between serotypedublin and bacteremia. AllS. dublin isolates were resistant to chloramphenicol. Amongdublin andtyphimurium serotypes, 20% the isolates were resistant to the traditional antibiotics used in salmonellosis (ampicillin, chloramphenicol, cotrimoxazole). All strains were susceptible in vitro to cephalosporins. The frequency of relapse was 15% and the overall mortality (within 30 days) attributed toSalmonella infection was 15%.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00572093
