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KMID : 0359920100290040509
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Korean Journal of Nephrology
2010 Volume.29 No. 4 p.509 ~ p.512
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A Case of Rhabdomyolysis and Acute Renal Failure Associated with Salmonella Enteritidis
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Kim Young-Sub
Yang Jae-Won
Park So-Yeon
Song Shin-Han
Yu Jong-Myeng
Choi Seung-Ok
Han Byoung-Geun
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Abstract
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Rhabdomyolysis varies from transient elevation of muscular enzyme to reduction of circulating volume and development of acute kidney injury (AKI). The majority is related to trauma, excessive exercise, alcohol and seizure disorders. Systemic infections associated with salmonellosis were rarely reported.
Most of Salmonella infections are caused by Salmonella Typhi. Most common manifestations are typhoid fever and gastroenteritis. Sometimes serious complications such as gastrointestinal bleeding, intestinal perforation, and encephalopathy occur. However, AKI-associated rhabdomyolysis is rarely reported in salmonellosis even though it is not considered to be a major complication. Unfortunately, the precise pathogenetic mechanisms responsible for rhabdomyolysis with Salmonella Enteritidis infection are poorly understood due to the rarity of reported cases.
In this presentation, we describe a patient with Salmonella Enteritidis (serogroup D) bacteremia complicated by disseminated intravascular coagulation, rhabdomyolysis and AKI. The blood culture and stool culture from the patient yielded Salmonella Enteritidis. Rhabdomyolysis and AKI should be considered as potentially fatal complications in patients with Salmonella Enteritidis infection.
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KEYWORD
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Acute renal failure, Rhabdomyolysis, Salmonella Enteritidis
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