<i>Salmonella</i> Hessarek Gastroenteritis with Bacteremia: A Case Report and Literature Review

<i>Salmonella enterica</i> subspecies <i>enterica</i> serotype Hessarek (<i>Salmonella</i> Hessarek) is considered a serovar with high host specificity and is an uncommon cause of disease in humans; no cases of <i>S.</i> Hessarek bacteremia have been r...

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Main Authors: Pierangelo Chinello, Guido Granata, Vincenzo Galati, Fabrizio Taglietti, Simone Topino, Emanuela Caraffa, Carolina Venditti, Nazario Bevilacqua, Lucilla Sbardella, Stefano Bilei, Nicola Petrosillo
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/9/8/656
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author Pierangelo Chinello
Guido Granata
Vincenzo Galati
Fabrizio Taglietti
Simone Topino
Emanuela Caraffa
Carolina Venditti
Nazario Bevilacqua
Lucilla Sbardella
Stefano Bilei
Nicola Petrosillo
author_facet Pierangelo Chinello
Guido Granata
Vincenzo Galati
Fabrizio Taglietti
Simone Topino
Emanuela Caraffa
Carolina Venditti
Nazario Bevilacqua
Lucilla Sbardella
Stefano Bilei
Nicola Petrosillo
author_sort Pierangelo Chinello
collection DOAJ
description <i>Salmonella enterica</i> subspecies <i>enterica</i> serotype Hessarek (<i>Salmonella</i> Hessarek) is considered a serovar with high host specificity and is an uncommon cause of disease in humans; no cases of <i>S.</i> Hessarek bacteremia have been reported in humans to date. On 16 July 2019, a young male presented abdominal pain, vomit, diarrhea, and fever up to 41 °C, a few hours after a kebab meal containing goat meat; he went to the Emergency Room, where a Film Array<sup>®</sup> GI Panel (BioFire, Biomerieux Company, Marcy-L´Étoile, France) was performed on his feces and results were positive for <i>Salmonella</i>. The culture of the feces was negative, but the blood culture was positive for <i>Salmonella spp</i>., which was identified as <i>Salmonella</i> Hessarek by seroagglutination assays. The patient was treated with ceftriaxone 2 g intravenously qd for 8 days; he was discharged in good general conditions, and ciprofloxacin 500 mg per os bid for 7 more days was prescribed, after exclusion of endocarditis and of clinical signs of complicated bacteremia. This case of <i>Salmonella</i> Hessarek gastroenteritis with bacteremia is probably the first case of bloodstream human infection due to this agent ever described. Further studies are needed to ascertain the global burden of <i>S.</i> Hessarek disease in humans.
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spelling doaj.art-205e6f9f2b8f46a9a5960b67176293082023-11-20T10:14:39ZengMDPI AGPathogens2076-08172020-08-019865610.3390/pathogens9080656<i>Salmonella</i> Hessarek Gastroenteritis with Bacteremia: A Case Report and Literature ReviewPierangelo Chinello0Guido Granata1Vincenzo Galati2Fabrizio Taglietti3Simone Topino4Emanuela Caraffa5Carolina Venditti6Nazario Bevilacqua7Lucilla Sbardella8Stefano Bilei9Nicola Petrosillo10National Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, ItalyNational Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, ItalyNational Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, ItalyNational Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, ItalyNational Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, ItalyNational Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, ItalyNational Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, ItalyNational Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, ItalyMicrobiology Unit, Policlinico Casilino, 00169 Rome, ItalyIstituto Zooprofilattico Sperimentale del Lazio e della Toscana “M. Aleandri”, 00178 Rome, ItalyNational Institute for Infectious Diseases “L. Spallanzani”, Via Portuense, 292, 00149 Rome, Italy<i>Salmonella enterica</i> subspecies <i>enterica</i> serotype Hessarek (<i>Salmonella</i> Hessarek) is considered a serovar with high host specificity and is an uncommon cause of disease in humans; no cases of <i>S.</i> Hessarek bacteremia have been reported in humans to date. On 16 July 2019, a young male presented abdominal pain, vomit, diarrhea, and fever up to 41 °C, a few hours after a kebab meal containing goat meat; he went to the Emergency Room, where a Film Array<sup>®</sup> GI Panel (BioFire, Biomerieux Company, Marcy-L´Étoile, France) was performed on his feces and results were positive for <i>Salmonella</i>. The culture of the feces was negative, but the blood culture was positive for <i>Salmonella spp</i>., which was identified as <i>Salmonella</i> Hessarek by seroagglutination assays. The patient was treated with ceftriaxone 2 g intravenously qd for 8 days; he was discharged in good general conditions, and ciprofloxacin 500 mg per os bid for 7 more days was prescribed, after exclusion of endocarditis and of clinical signs of complicated bacteremia. This case of <i>Salmonella</i> Hessarek gastroenteritis with bacteremia is probably the first case of bloodstream human infection due to this agent ever described. Further studies are needed to ascertain the global burden of <i>S.</i> Hessarek disease in humans.https://www.mdpi.com/2076-0817/9/8/656salmonellosis<i>Salmonella</i> Hessarekbacteremia
spellingShingle Pierangelo Chinello
Guido Granata
Vincenzo Galati
Fabrizio Taglietti
Simone Topino
Emanuela Caraffa
Carolina Venditti
Nazario Bevilacqua
Lucilla Sbardella
Stefano Bilei
Nicola Petrosillo
<i>Salmonella</i> Hessarek Gastroenteritis with Bacteremia: A Case Report and Literature Review
Pathogens
salmonellosis
<i>Salmonella</i> Hessarek
bacteremia
title <i>Salmonella</i> Hessarek Gastroenteritis with Bacteremia: A Case Report and Literature Review
title_full <i>Salmonella</i> Hessarek Gastroenteritis with Bacteremia: A Case Report and Literature Review
title_fullStr <i>Salmonella</i> Hessarek Gastroenteritis with Bacteremia: A Case Report and Literature Review
title_full_unstemmed <i>Salmonella</i> Hessarek Gastroenteritis with Bacteremia: A Case Report and Literature Review
title_short <i>Salmonella</i> Hessarek Gastroenteritis with Bacteremia: A Case Report and Literature Review
title_sort i salmonella i hessarek gastroenteritis with bacteremia a case report and literature review
topic salmonellosis
<i>Salmonella</i> Hessarek
bacteremia
url https://www.mdpi.com/2076-0817/9/8/656
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