Salmonella infections in a cancer center

Support Care Cancer. 1994 Mar;2(2):116-22. doi: 10.1007/BF00572093.

Abstract

Data concerning 40 patients hospitalized in a cancer center and Salmonella infection were analyzed. Hematological malignancy was present in 24 patients (60%) and solid tumor in 14 patients (35%). Among the predisposing factors, antineoplastic chemotherapy was the most frequent (60%) followed by antacid use (47.5%), corticosteroids (37.5%), granulocytopenia below 500 neutrophils/microliters (15%), surgery (10%) and splenectomy (2.5%). Bacteremia was the most frequent clinical syndrome accounting for 42.5% of the patients. Focal infection, enteritis and carrier state accounted for the remaining 30%, 20% and 7.5% respectively. Salmonella typhimurium and S. dublin represented 65% of the isolates, with clear association between serotype dublin and bacteremia. All S. dublin isolates were resistant to chloramphenicol. Among dublin and typhimurium serotypes, 20% the isolates were resistant to the traditional antibiotics used in salmonellosis (ampicillin, chloramphenicol, cotrimoxazole). All strains were susceptible in vitro to cephalosporins. The frequency of relapse was 15% and the overall mortality (within 30 days) attributed to Salmonella infection was 15%.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bacteremia / epidemiology
  • Belgium / epidemiology
  • Cancer Care Facilities
  • Community-Acquired Infections / epidemiology
  • Female
  • Focal Infection / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / drug therapy
  • Neoplasms / surgery
  • Neoplasms / therapy*
  • Recurrence
  • Salmonella / isolation & purification
  • Salmonella Infections / epidemiology*
  • Salmonella Infections / microbiology
  • Salmonella enteritidis / isolation & purification
  • Salmonella typhimurium / isolation & purification
  • Survival Rate