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臨床症狀常以急性腸胃炎表現(腹瀉、發燒、腹痛、血便等)，少部分病人會併發菌血症，甚至發生轉移性感染。 疾病的嚴重程度和感染的血清型別、食入的菌量及宿主因素有關；嬰兒、老年人或免疫功能低下者為高危險群。 大部分兒童感染沙門氏菌亦是以急性腸胃炎為主要表現，少數產生併發症或轉移性感染，例如毒性巨結腸症、菌血症、敗血性關節炎、腦膜炎等。 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