Ejlertsen T, Aunsholt N A
Department of Clinical Microbiology, Aalborg Hospital, Denmark.
Scand J Infect Dis. 1989;21(3):241-4. doi: 10.3109/00365548909035692.
Three cases of salmonella bacteremia in renal transplant recipients are reported. Two patients had prolonged salmonella infections with recurring bacteremia. The longest interval between bacteremic relapses was 15 years. 27 cases from the literature of salmonella bacteremia in renal transplant recipients are reviewed. The courses of salmonellosis in renal transplant recipients are more serious than in other non-compromised patients, being complicated by bacteremia in 70% of the cases. Renal transplant recipients have prolonged carrier states and frequent relapses or recurrences of salmonellosis. 45% of the salmonella bacteremias in renal transplant recipients are seen after a high dose methylprednisolone treatment for graft rejection episodes.
报告了3例肾移植受者沙门菌菌血症病例。2例患者沙门菌感染持续时间长，反复发生菌血症。菌血症复发的最长间隔时间为15年。对文献中27例肾移植受者沙门菌菌血症病例进行了回顾。肾移植受者沙门菌病的病程比其他非免疫功能低下患者更为严重，70%的病例并发菌血症。肾移植受者沙门菌携带状态持续时间长，沙门菌病频繁复发。45%的肾移植受者沙门菌菌血症发生在大剂量甲基强的松龙治疗移植排斥反应之后。
