Pediatric Infection and Vaccine

  • 제20권1호
  • /
  • Pages.41-45
  • /
  • 2013
  • /
  • 2384-1079(pISSN)
  • /
  • 2384-1087(eISSN)
대한소아감염학회 (The Korean Society of Pediatric Infectious Diseases)
권호 표지

애완동물을 통해 전파된 것으로 의심되는 비장티푸스성 살모넬라 균혈증 2례

Two Children with Nontyphoidal Salmonellosis Assumed by Pets

  • 김종덕 (연세대학교 의과대학 소아과학교실, 세브란스 어린이병원 소아청소년과) ;
  • 최성열 (연세대학교 의과대학 소아과학교실, 세브란스 어린이병원 소아청소년과) ;
  • 김동수 (연세대학교 의과대학 소아과학교실, 세브란스 어린이병원 소아청소년과) ;
  • 김기환 (연세대학교 의과대학 소아과학교실, 세브란스 어린이병원 소아청소년과)
  • Kim, Jong Deok (Department of Pediatrics, Yonsei University, College of Medicine, Severance Children's Hospital) ;
  • Choi, Seong Yeol (Department of Pediatrics, Yonsei University, College of Medicine, Severance Children's Hospital) ;
  • Kim, Dong Soo (Department of Pediatrics, Yonsei University, College of Medicine, Severance Children's Hospital) ;
  • Kim, Ki Hwan (Department of Pediatrics, Yonsei University, College of Medicine, Severance Children's Hospital)
  • 투고 : 2012.09.15
  • 심사 : 2012.10.24
  • 발행 : 2013.04.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

비장티푸스성 살모넬라균은 그람 음성 간균으로, 인체감염 시 위장관염부터 발열, 균혈증 등의 전신성 증상을 보일 수 있다. 이들의 감염은 주로 음식물을 매개로 이루어지나 애완용 파충류, 양서류, 어류 등을 통한 전파 역시 가능한 것으로 알려져 있다. 하지만 알려진 바에 비해 국내에서 애완용 파충류 및 어류를 통한 살모넬라 감염의 보고는 없는 상황이다. 이에 저자들은 세브란스병원에 발열을 주소로 내원하여 살모넬라 균혈증을 진단받은 2명의 환아를 조사하여 이들의 병력 상 애완용 거북이 및 열대어와의 접촉을 통한 살모넬라 감염의 가능성이 있음을 확인하였다. 최근 애완용 파충류 및 어류의 사육이 증가하고 있는 상황에서 살모넬라 감염을 예방하기 위한 노력이 필요하며, 특히 살모넬라 감염에 의하여 심각한 합병증을 유발할 위험성이 높은 5세 미만의 소아에서는 애완용 파충류 및 어류와의 접촉이 이루어지지 않도록 하는 것이 중요할 것으로 판단되어 이를 증례를 통하여 보고한다.

Nontyphoidal Salmonella are gram negative bacilli organism, which may induce systemic infection such as febrile enteritis, bacteremia, and osteomyelitis. Main route of infection is known as food but also possible through reptile, amphibian, and fish raised as pets in the house. There is no known cases report of Salmonella infection through pets in Korea and also rare in the overseas. We report 2 patients who visited Severance children's hospital with chief complaint of fever and diagnosed as nontyphoidal salmonellosis. Each case had a history of raising turtle or tropical fish with possibility of Salmonella infection through these pets. Increasing incidence of raising pet reptile and fish lately, contact precaution and proper prevention and control of Salmonella infection of these pets especially in children under 5 years old are necessary due to higher risk of serious complications of salmonellosis.

키워드

참고문헌

  1. Saphra I, Winter JW. Clinical manifestations of salmonellosis in man; an evaluation of 7779 human infections identified at the New York Salmonella Center. N Engl J Med 1957;256:1128-34. https://doi.org/10.1056/NEJM195706132562402
  2. Cohen JI, Bartlett JA, Corey GR. Extra-intestinal manifestations of Salmonella infections. Medicine 1987;66:349-88. https://doi.org/10.1097/00005792-198709000-00003
  3. Preliminary FoodNet data on the incidence of infection with pathogens transmitted commonly through food -10 states, 2009. MMWR. Morb Mortal Wkly Rep 2010;59:418-22.
  4. Lee JK. Summary of communicable disease outbreak during thirty fifth week in 2007. Communicable disease weekly report 2007;6:1-35.
  5. The analysis on the prevalence status and characteristics of bacterial pathogens causing acute diarrhea in Korea, 2007. Public health weekly report 2008;1:116-22.
  6. Surveillance for foodborne disease outbreaks --- United States, 2007. MMWR. Morb Mortal Wkly Rep 2010;59:973-9.
  7. Ackman DM, Drabkin P, Birkhead G, Cieslak P. Reptileassociated salmonellosis in New York State. Pediatr Infect Dis J 1995;14:955-9. https://doi.org/10.1097/00006454-199511000-00006
  8. Gaulin C, Vincent C, Ismail J. Sporadic infections of Salmonella Paratyphi B, var. Java associated with fish tanks. Can J Public Health 2005;96:471-4.
  9. Lamm SH, Taylor A Jr., Gangarosa EJ, Anderson HW, Young W, Clark MH, et al. Turtle-associated salmonellosis. I. An estimation of the magnitude of the problem in the United States, 1970-1971. Am J Epidemiol 1972;95:511-7. https://doi.org/10.1093/oxfordjournals.aje.a121418
  10. Altman R, Gorman JC, Bernhardt LL, Goldfield M. Turtle-associated salmonellosis. II. The relationship of pet turtles to salmonellosis in children in New Jersey. Am J Epidemiol 1972;95:518-20. https://doi.org/10.1093/oxfordjournals.aje.a121419
  11. Turtle-associated salmonellosis in humans -- United States, 2006-2007. MMWR. Morb Mortal Wkly Rep 2007;56:649-52.
  12. Levings RS, Lightfoot D, Hall RM, Djordjevic SP. Aquariums as reservoirs for multidrug-resistant Salmonella. Paratyphi B. Emerg Infect Dis 2006;12:507-10. https://doi.org/10.3201/eid1203.051085
  13. Harris JR, Bergmire-Sweat D, Schlegel JH, Winpisinger KA, Klos RF, Perry C, et al. Multistate outbreak of Salmonella infections associated with small turtle exposure, 2007-2008. Pediatrics 2009;124:1388-94. https://doi.org/10.1542/peds.2009-0272
  14. Mandal BK, Brennand J. Bacteraemia in salmonellosis: a 15 year retrospective study from a regional infectious diseases unit. BMJ 1988;297:1242-3. https://doi.org/10.1136/bmj.297.6658.1242
  15. Zaidi E, Bachur R, Harper M. Non-typhi Salmonella bacteremia in children. Pediatr Infect Dis J 1999;18:1073-7. https://doi.org/10.1097/00006454-199912000-00009
  16. Stevenson JE, Gay K, Barrett TJ, Medalla F, Chiller TM, Angulo FJ. Increase in nalidixic acid resistance among non-typhi Salmonella enterica isolates in the United States from 1996 to 2003. Antimicrob Agents Chemother 2007;51:195-7. https://doi.org/10.1128/AAC.00222-06
  17. Chung HS, Lee HM, Lee YS, Yong DE, Jeong SH, Lee BK, et al. A korean nationwide surveillance study for non-typhoidal Salmonella isolated in humans and food animals from 2006 to 2008: Extended-spectrum betalactamase, plasmid-mediated AmpC beta-lactamase, and plasmid-mediated quinolone resistance qnr genes. Korean J Clin Microbiol 2012;1:14-20.