Severe sepsis from a Ciprofloxacin resistant salmonellosis in a kidney transplant recipient

• Main Authors: Matheus Miranda Mendes, Moisés Carminatti, Hélady Sanders Pinheiro
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Nefrologia
• Series: Brazilian Journal of Nephrology
• Subjects: Bacteremia; drug resistance; enterobacteriaceae; immunocompromised host; kidney transplantation; salmonella
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000100082&lng=en&tlng=en

Abstract Introduction: Salmonellosis is a relatively rare complication in kidney transplant recipients that cannot be clinically distinguished from other forms of enteritis. Among kidney transplant patients, it varies broadly in intensity, and is highly associated with extra-intestinal disease, bacteremia, and, in this case, a high mortality rate. Case Report: Here we describe a clinical case of ciprofloxacin resistant salmonellosis in a kidney transplant patient. Conclusion: This case illustrates how immunosuppressed patients can be exposed to rare forms of infection, often clinically difficult to identify, and possibly with severe clinical courses and poor outcomes despite evidence-based empiric antibiotic therapy.