Invasive Nontyphoidal Salmonella Infection in a Patient with Early-Stage Chronic Lymphocytic Leukemia

We describe a case of a 72-year-old man with early-stage chronic lymphocytic leukemia (CLL) who presented with invasive nontyphoidal Salmonella (iNTS) infection, necrotizing pneumonia, and chronic infection of a hilar lymph node. Infection is a major cause of death in patients with CLL. Though few c...

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Main Authors: Deepika Slawek, Yanina Dubrovskaya, Eddie Louie
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2017/9091276
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author Deepika Slawek
Yanina Dubrovskaya
Eddie Louie
author_facet Deepika Slawek
Yanina Dubrovskaya
Eddie Louie
author_sort Deepika Slawek
collection DOAJ
description We describe a case of a 72-year-old man with early-stage chronic lymphocytic leukemia (CLL) who presented with invasive nontyphoidal Salmonella (iNTS) infection, necrotizing pneumonia, and chronic infection of a hilar lymph node. Infection is a major cause of death in patients with CLL. Though few cases of iNTS infection associated with CLL have been described in the literature, to our knowledge this is the first reported case of iNTS-associated necrotizing pneumonia. Immunocompromised state in patients, even with early-stage CLL, likely predisposes them to invasive infection with intracellular organisms, such as Salmonella spp. In this case, successful treatment was achieved with prolonged course of intravenous followed by oral antibiotics without any surgical removal of infected focus.
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spelling doaj-art-ddc9e63e02e142a281bebd035499d0f72025-08-20T02:21:33ZengWileyCase Reports in Infectious Diseases2090-66252090-66332017-01-01201710.1155/2017/90912769091276Invasive Nontyphoidal Salmonella Infection in a Patient with Early-Stage Chronic Lymphocytic LeukemiaDeepika Slawek0Yanina Dubrovskaya1Eddie Louie2Division of Infectious Diseases, NYU School of Medicine, 550 First Avenue NBV 16 South 5-13, New York, NY 10016, USADivision of Infectious Diseases, NYU School of Medicine, 550 First Avenue NBV 16 South 5-13, New York, NY 10016, USADivision of Infectious Diseases, NYU School of Medicine, 550 First Avenue NBV 16 South 5-13, New York, NY 10016, USAWe describe a case of a 72-year-old man with early-stage chronic lymphocytic leukemia (CLL) who presented with invasive nontyphoidal Salmonella (iNTS) infection, necrotizing pneumonia, and chronic infection of a hilar lymph node. Infection is a major cause of death in patients with CLL. Though few cases of iNTS infection associated with CLL have been described in the literature, to our knowledge this is the first reported case of iNTS-associated necrotizing pneumonia. Immunocompromised state in patients, even with early-stage CLL, likely predisposes them to invasive infection with intracellular organisms, such as Salmonella spp. In this case, successful treatment was achieved with prolonged course of intravenous followed by oral antibiotics without any surgical removal of infected focus.http://dx.doi.org/10.1155/2017/9091276
spellingShingle Deepika Slawek
Yanina Dubrovskaya
Eddie Louie
Invasive Nontyphoidal Salmonella Infection in a Patient with Early-Stage Chronic Lymphocytic Leukemia
Case Reports in Infectious Diseases
title Invasive Nontyphoidal Salmonella Infection in a Patient with Early-Stage Chronic Lymphocytic Leukemia
title_full Invasive Nontyphoidal Salmonella Infection in a Patient with Early-Stage Chronic Lymphocytic Leukemia
title_fullStr Invasive Nontyphoidal Salmonella Infection in a Patient with Early-Stage Chronic Lymphocytic Leukemia
title_full_unstemmed Invasive Nontyphoidal Salmonella Infection in a Patient with Early-Stage Chronic Lymphocytic Leukemia
title_short Invasive Nontyphoidal Salmonella Infection in a Patient with Early-Stage Chronic Lymphocytic Leukemia
title_sort invasive nontyphoidal salmonella infection in a patient with early stage chronic lymphocytic leukemia
url http://dx.doi.org/10.1155/2017/9091276
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AT yaninadubrovskaya invasivenontyphoidalsalmonellainfectioninapatientwithearlystagechroniclymphocyticleukemia
AT eddielouie invasivenontyphoidalsalmonellainfectioninapatientwithearlystagechroniclymphocyticleukemia