Suzuki Y, Akino H, Isomatsu Y, Kanimoto Y, Shimizu Y, Kawada Y
Department of Urology, Fukui Medical School.
Hinyokika Kiyo. 1988 Mar;34(3):473-7.
Two cases of acute renal failure associated with non-typhoid Salmonella infection are reported. Case 1: A 49-year-old man was admitted with the complaint of severe watery diarrhea and oliguria. Stool culture revealed Salmonella typhimurium. Laboratory data showed hyponatremia and acute renal failure. Hemodialysis was performed 3 times and renal failure was improved. Case 2: A 63-year-old woman was admitted with complaint of severe watery diarrhea, nausea, and fever. Stool culture revealed Salmonella E group. Septic shock appeared after admission, and anti-shock therapy was immediately carried out. Acute renal failure was cured without hemodialysis, even though multiple organ failure had occurred concomitantly. We discussed the management of patients with Salmonella infection, especially those with acute renal failure.
报告了两例与非伤寒沙门氏菌感染相关的急性肾衰竭病例。病例1:一名49岁男性因严重水样腹泻和少尿入院。粪便培养显示鼠伤寒沙门氏菌。实验室数据显示低钠血症和急性肾衰竭。进行了3次血液透析,肾衰竭得到改善。病例2:一名63岁女性因严重水样腹泻、恶心和发热入院。粪便培养显示E组沙门氏菌。入院后出现感染性休克,立即进行了抗休克治疗。尽管同时发生了多器官功能衰竭,但急性肾衰竭未经血液透析即治愈。我们讨论了沙门氏菌感染患者的管理,尤其是那些患有急性肾衰竭的患者。