Spinal epidural abscess caused by non-typhoidal Salmonella: A case report and literature review
JOURNAL OF INFECTION AND CHEMOTHERAPY
Authors: Hirai, Nobuyasu; Kasahara, Kei; Yoshihara, Shingo; Nishimura, Tomoko; Ogawa, Yoshihiko; Ogawa, Taku; Hishiya, Naokuni; Suzuki, Yuki; Yano, Hisakazu; Yoshikawa, Masahide
Abstract
Non-typhoidal Salmonellae are Gram negative bacilli commonly causing self-limiting gastroenteritis, representing a public health issue particularly in tropical countries. Further, the epidemiology of invasive infection by non-typhoidal Salmonella species is poorly understood. Herein, we presented a case of an unusual Salmonella enterica subsp. enterica serovar Altona epidural abscess that cause osteomyelitis and psoas abscess in a 52-year-old Japanese man. To ensure adequate antibiotics penetration into the epidural space, the patient was treated with antibiotics in doses similar to those administered for meningitis. We also reviewed the literature on patients who developed non-typhoidal Salmonella epidural abscesses, and we found 10 other previously reported cases. Salmonella Enteritidis was the pathogen most commonly identified, similar to gastroenteritis. More surveillance of non-typhoidal Salmonella serovars, especially in cases of severe infection, and investigation of antibiotic penetration rate into the epidural space are warranted to decide the best treatment course. (C) 2020 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Generation and Characterization of Typhoid Toxin-Neutralizing Human Monoclonal Antibodies
INFECTION AND IMMUNITY
Authors: Jiao, Xuyao; Smith, Sarah; Stack, Gabrielle; Liang, Qi; Bradley, Allan; Kellam, Paul; Galan, Jorge E.
Abstract
Typhoid toxin is a virulence factor of Salmonella enterica serovar Typhi, the causative agent of typhoid fever, and is thought to be responsible for the symptoms of severe disease. This toxin has a unique A2B5 architecture with two active subunits, the ADP ribosyl transferase PlCA and the DNase CdtB, linked to a pentameric B subunit, which is alternatively made of PltB or PItC. Here, we describe the generation and characterization of typhoid toxin-neutralizing human monoclonal antibodies by immunizing genetically engineered mice that have a full set of human immunoglobulin variable region genes. We identified several monoclonal antibodies with strong in vitro and in vivo toxin-neutralizing activity and different mechanisms of toxin neutralization. These antibodies could serve as the basis for the development of novel therapeutic strategies against typhoid fever.