Uhh..Salmonella??

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Vin
Regular Member


Date Joined Jan 2006
Total Posts : 312
   Posted 11/15/2008 5:13 PM (GMT -7)   
Going to post this in the UC section as well.
 
 
I got a letter today from the public board of health for my county stating that I need to call them asap(monday i guess) because I have salmonella.   Not quite sure what to think, and of course its on a frigging saturday so I can't call anyone that can tell me whats going on. 
 
History:
 
I starting feeling very sick late in september, was running a fever, had major stomach pain/bleeding, diareha, joint pain,mental confusion, EXTREME fatigue to the point where i passed out at work and I was rushed to the hospital. From the point i started getting sick to that point was about 5 days.  Spent 7 days in hospital with them assuming my colitis/chrons was flaring up which makes sense.  I started to feel better on the pred, more energy, colitis/chrons symptoms fading, etc.  I made it down to 10 mg of pred and then I started to get a 'flare' again and started running a fever, had extreme fatigue, pain, the works.  Contacted doctor and we increased my pred up again.  He did a colonoscopy right away to determine if i was experiencing refractory colitis/chrons.  The results came back with mild/moderate inflammation from the cecum to the transverse colon.   He said he thought the 6mp and pred were working because the inflammation was mild..so get off the steroids and that was that.  I am back down to 10 mg of pred as of thursday, and since yesterday I've started getting the extreme fatigue, chills, joint pain,... AGAIN!  So then today I get the letter stating I have salmonella which is where I am at now.
 
 
Ok.  I know that most cases of salmonella resolve themselves within 7 - 14 days.  I am outside the scope of that grace period.  I am also immunosupressed on 6mp and prednisone.  I am assuming they found the salmonella in the cultured stools from when I was in the hospital which was way back in september.   Any idea why would it take so long for me to be notified?  I wonder why my dr wasn't aware of this.   I guess having salmonella and colitis/chrons needs to be treated through contradictory measures..one needs the immune system...the other needs the immune system supressed..what to do in the meantime?  I know being immunosupressed can cause me to get even sicker and allow the salmonella to enter my blood stream and effect my organs which is life threatening.  I am really hoping someone else has been in my situation.  I don't know how sick i'll get in my current state before Monday rolls around.  I also don't know if the salmonella is still active, or if im symptomatic of chrons/colitis or even pred withdrawal.    Ugh.  I am having such a bad year!!!
 
I suppose I will play it by ear and if gets really bad ill go to the ER for the 5th time this year.  mad .
 
Anyone got any thoughts?
 
Vin 
UC/Chrons since age 22, now 27.  Several huge flares since then.  Entire colon diseased at some point from cecum to rectum.  Also had previous inflammation in terminal ileum.
 
Currently tapering prednisone(12.5 mg from 80 mg).  Also just starting 6mp again(75 mg) and lialda.  


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 11/15/2008 5:26 PM (GMT -7)   
I had the same situation but w/ e-coli. Thought it was a crohns flare, was on a liquid diet, doc did stool cultures, and I got called by the board of health that I had some form of e-coli. There was no difference in my treatment. They just needed to ask me a bunch of questions like where I worked, what I ate, what resturants I go to, etc. They use that info to track if there is an outbreak anywhere. Come to find out me and 2 other people (all with chronic illnesses) from my work all had the same strand of bacteria. We figured the only place we all ate was a deli near work. "Healthy" people probably wouldn't have found out they had it. They would just think it was a bad flu and ride it out. Only us special people get our stool cultured regularly. One of the other guys found out he had it b/c he was in the hospital for heart issues and it showed up on his tests (don't know if they were blood tests or stool tests.)
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night. I also take a birth control pill to allow some fun in my life.


Vin
Regular Member


Date Joined Jan 2006
Total Posts : 312
   Posted 11/15/2008 5:51 PM (GMT -7)   
Eek..E-coli! I guess you were treated with anti-biotics? were you on pred or any other immunosupressors at the time?

I just remembered that since I had my colonoscopy 2 weeks back..thats probably where it showed up in the culture. So the time frame sort of makes sense.

Just wish I knew why i still felt so crummy! So many variables.

Vin
UC/Chrons since age 22, now 27.  Several huge flares since then.  Entire colon diseased at some point from cecum to rectum.  Also had previous inflammation in terminal ileum.
 
Currently tapering prednisone(12.5 mg from 80 mg).  Also just starting 6mp again(75 mg) and lialda.  


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 11/15/2008 5:57 PM (GMT -7)   
No extra treatment at all - it just ran its course. I was only on pentasa at the time. I went the liquid route to get over it. I eventually went on entocort but I believe that was after that incident.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night. I also take a birth control pill to allow some fun in my life.

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