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

J Bras Nefrol. 2017 Mar;39(1):82-85. doi: 10.5935/0101-2800.20170014.
[Article in Portuguese, English]

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / pharmacology*
  • Anti-Bacterial Agents / therapeutic use*
  • Ciprofloxacin / pharmacology*
  • Ciprofloxacin / therapeutic use*
  • Drug Resistance, Bacterial*
  • Humans
  • Kidney Transplantation*
  • Male
  • Postoperative Complications / drug therapy*
  • Postoperative Complications / microbiology*
  • Salmonella / drug effects*
  • Salmonella Infections / drug therapy*
  • Sepsis / drug therapy*

Substances

  • Anti-Bacterial Agents
  • Ciprofloxacin