RESUMO
Non-typhoidal salmonellosis is an important cause of acute diarrhea in children. Generally they are acquired by consumption of contaminated food, but contact with reptiles is an increasing cause of this zoonoses. We describe three pediatric cases of gastroenteritis by Salmonella (Montevideo, Newport and Pomona), related to having turtles as pets. In two cases, the bacteria were isolated from the patient's stools and the turtle's droppings. The same genetic subtype by PFGE was obtained in both isolates. All the children recovered. Information and public health measures should be undertaken to control this zoonoses which affects young children.
Assuntos
Animais Domésticos/microbiologia , Gastroenterite/microbiologia , Infecções por Salmonella/microbiologia , Salmonella/isolamento & purificação , Tartarugas/microbiologia , Animais , Fezes/microbiologia , Feminino , Gastroenterite/diagnóstico , Humanos , Lactente , Masculino , Infecções por Salmonella/diagnóstico , Infecções por Salmonella/transmissão , Zoonoses/transmissãoRESUMO
Leifsonia aquatica is an aquatic coryneform rod that is capable of forming biofilms in environmental water sources. It has rarely been associated with human infections and its pathogenicity and clinical significance are uncertain. We describe a case of catheter-related bloodstream infection in a haemodialysis patient. The isolate grew on conventional media as a yellow-pigmented colony, but identification required molecular methods. Although the strain displayed reduced sensitivity to vancomycin, the clinical outcome was favourable after catheter removal and intravenous treatment with this antibiotic. Our report gives further evidence of the capability of this aquatic bacterium to cause human infection.
Assuntos
Infecções por Actinomycetales/diagnóstico , Actinomycetales/isolamento & purificação , Bacteriemia/diagnóstico , Infecções Relacionadas a Cateter/diagnóstico , Actinomycetales/classificação , Actinomycetales/fisiologia , Infecções por Actinomycetales/microbiologia , Idoso , Bacteriemia/microbiologia , Infecções Relacionadas a Cateter/microbiologia , DNA Bacteriano/química , DNA Bacteriano/genética , DNA Ribossômico/química , DNA Ribossômico/genética , Humanos , Masculino , Dados de Sequência Molecular , RNA Ribossômico 16S/genética , Diálise Renal/efeitos adversos , Análise de Sequência de DNARESUMO
Non-typhoidal salmonellosis is an important cause of acute diarrhea in children. Generally they are acquired by consumption of contaminated food, but contact with reptiles is an increasing cause of this zoonoses. We describe three pediatric cases of gastroenteritis by Salmonella (Montevideo, Newport and Pomona), related to having turtles as pets. In two cases, the bacteria were isolated from the patient’s stools and the turtle’s droppings. The same genetic subtype by PFGE was obtained in both isolates. All the children recovered. Information and public health measures should be undertaken to control this zoonoses which affects young children.
Las infecciones por Salmonella no tíficas, son una importante causa de diarrea aguda en niños. Generalmente adquiridas por alimentos contaminados, el contacto con animales, especialmente reptiles, también es responsable de esta zoonosis. Describimos tres casos de lactantes con gastroenteritis por Salmonella (S. Montevideo, S. Newport y S. Pomona), relacionados a contacto con tortugas mascotas. En dos de los casos se aisló Salmonella en las deposiciones de los niños y de las tortugas. En todos hubo proximidad entre los niños y los acuarios y/o tortugas, siendo probable la contaminación en la preparación de alimentos. El estudio de clonalidad por electroforesis de campo pulsado demostró el mismo subtipo genético en el aislado correspondiente al paciente y en el procedente de la mascota, lo cual confirmó la fuente zoonótica de los casos. Esta zoonosis debe ser abordada por las autoridades de salud y las sociedades científicas, ya que representa un importante riesgo para la salud, especialmente de niños pequeños.