Salmonella Group B and Gastroenteritis Linked to Consumption of Raw Vegetables: A Case Report

We present a case of gastroenteritis caused by Salmonella due to the consumption of raw vegetables and water in a farm. A 62-year-old female from north of Iran was travelling to Karaj. In the way to Karaj, the patient consumed raw unwashed vegetables from a farm. After a few hours she complained of gastrointestinal disturbances. She was admitted to the emergency department for evaluation of frequent severe watery diarrhea. Stool culture was performed at admission which was found positive for Salmonella group B. This bacterium is sensitive to ceftriaxon, amikacin, co-trimoxazole, nalidoxoc acid, nitrofurantoin, piperacillin and ciprofloxacin. Therefore, treatment was initiated with metronidazole and ciprofloxacin resulting in rapid improvement of the patient’s symptoms. The patient was discharged from the hospital after 3 days. She remained well without evidence of recurrence of symptoms during a 2-month follow-up period.