Indiana University Infectious Diseases Fellowship
7 Sep,
9 tweets, 5 min read
#idboardreview 50 M on chronic daily steroids; recent trip to Mexico are daily beef tacos & queso fresco now presents w/ diarrhea, fever, chills. Ct+ enteritis, BC GNR. Dx? #medEd #idmedEd #IDtwitter 
Approx 5% of pts w/ GI illness by nontyphoidal #Salmonella will develop bacteremia, serious/potentially fatal problem. more likely to occur in immunologically compromised & these hosts are also more likely to develop focal infection.
#Salmonella especially problematic in a wide variety of immunocompromised individuals, including (but not limited to) patients with malignancy, human immunodeficiency virus, or diabetes, and those receiving corticosteroid therapy or treatment with other immunotherapy agents
No therapy is indicated for uncomplicated #salmonella gastroenteritis as it prolongs carriage
For severe infections, endovascular, focal infections meningitis, arthritis, abscess, or severe enteritis in immunocompromised host or bacteremia: Ceftriaxone or FQ should be used #salmonella
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