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M9490486.TXT
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1994-09-19
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Document 0486
DOCN M9490486
TI Nontyphoidal salmonellal septicemia in Gabonese children infected with
Schistosoma intercalatum.
DT 9411
AU Gendrel D; Kombila M; Beaudoin-Leblevec G; Richard-Lenoble D; Hopital
Saint-Vincent-de-Paul, Paris, France.
SO Clin Infect Dis. 1994 Jan;18(1):103-5. Unique Identifier : AIDSLINE
MED/94331487
AB Relapses of enteric fever induced by Schistosoma intercalatum have been
observed to occur in central Africa. In Libreville, Gabon, 70 children
(ages, 2.1-15.9 years) who were seronegative for human immunodeficiency
virus and were hospitalized for septicemic salmonellosis underwent
rectal biopsy for diagnosis of S. intercalatum infection. A nontyphoidal
Salmonella species was isolated from 53 of the 70 patients: Salmonella
typhimurium in 14 cases; Salmonella enteritidis in 7 cases; Salmonella
galiema in 4 cases; Salmonella arizonae in 3 cases; and other species in
25 cases. Schistosomal eggs were present in the rectal mucosa of 48
(90.6%) of these 53 patients, in 11 (64.7%) of 17 patients with
septicemia due to Salmonella typhi or Salmonella paratyphi, and in 21
(38.2%; P < .001) of 55 controls. Clinical symptoms were not different
among patients coinfected with S. intercalatum and nontyphoidal
Salmonella vs. those with enteric fever. Treatment with antibiotics
induced apyrexia only after administration of antiparasitic therapy in
30 patients. These data strongly suggest interactions between S.
intercalatum and Salmonella in infected children with clinically severe
nontyphoidal salmonellal septicemia.
DE Adolescence Child Child, Preschool Chloramphenicol/THERAPEUTIC USE
Female Gabon Human Male Parasite Egg Count Prospective Studies
Salmonella Infections/*COMPLICATIONS/DRUG THERAPY/MICROBIOLOGY
Schistosomiasis/*COMPLICATIONS/DIAGNOSIS Septicemia/*COMPLICATIONS/DRUG
THERAPY/MICROBIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).