Mendes Matheus Miranda, Carminatti Moisés, Pinheiro Hélady Sanders
Universidade Federal de Juiz de Fora, Brazil.
J Bras Nefrol. 2017 Mar;39(1):82-85. doi: 10.5935/0101-2800.20170014.
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.
Here we describe a clinical case of ciprofloxacin resistant salmonellosis in a kidney transplant patient.
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.
沙门氏菌病在肾移植受者中是一种相对罕见的并发症，临床上无法与其他形式的肠炎区分开来。在肾移植患者中，其严重程度差异很大，并且与肠外疾病、菌血症密切相关，在本病例中，死亡率很高。
在此，我们描述了一名肾移植患者对环丙沙星耐药的沙门氏菌病临床病例。
本病例说明了免疫抑制患者如何会感染罕见的感染形式，这些感染临床上往往难以识别，尽管有循证经验性抗生素治疗，但仍可能有严重的临床病程和不良结局。
