Concurrent infection with pulmonary nocardiosis and Salmonella bovis
bacteraemia in a previously healthy female
R. K. P. De Palma, D. P. J. Macleod, T. S. Seemungal and
L. M. E. Kuitert
Department of Respiratory Medicine, Royal London
Hospital, London E1 1BB, UK
Corresponding address: L. M. E. Kuitert, Department of Respiratory
Medicine, Royal London Hospital, London E1 1BB, UK. Tel.: +44-207-377-7339;
fax: +44-207-377-7337;
Email: lkuitert@aol.com
Abstract
We report the case of a woman from sub-Saharan Africa who
presented with pyrexia, pulmonary lesions and a urinary tract infection
(UTI). She was found to have multiple infections, i.e. Salmonella bovis
bacteraemia, Escherichia coli UTI, and pulmonary nocardiosis. In the presence
of lymphopaenia, a Human Immunodeficiency Virus (HIV) antibody test was
performed and was positive. This is the first reported case of S. bovis
infection in Acquired Immunodeficiency Syndrome (AIDS). It is a reminder that
HIV infection should always be suspected in patients who normally reside in
an area of high prevalence of HIV and present with any infection, but
particularly if unusual or multiple infections occur simultaneously.
Key words
HIV; non-typhimurium salmonella; nocardia; infection.
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