Surgical complications of salmonella
The aim of the work was to study the clinical and laboratory features of the course of Salmonella infection, complicated by surgical pathology, among the adult population of St. Petersburg. For the period from 2014 to 2017 in "S.P. Botkin Clinical Hospital of Infectious Diseases” 32 patients with salmonellosis, complicated by surgical pathology, were observed. Salmonella enteritis, gastrointestinal form was registered in all patients: in 18 patients there was a gastroenterocolitis variant, in 14 patients the enterocolitic variant. From 2 to 4 days of the disease, surgical complications of salmonellosis were identified: acute mesadenitis in 19 patients, acute secondary appendicitis in 6 patients, acute mesadenitis and secondary catarrhal appendicitis in 4 patients, toxic intestinal dilatation in 3 patients. In 29 patients diagnoses of salmonellosis was confirmed by a bacteriological method. Salmonella group D was most often isolated from patients with surgical complications from feces. In most cases of acute appendicitis caused by group D salmonella, catarrhal inflammation of the appendix was detected. Recovery was observed in 100% of cases.