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KMID : 0614620080520020110
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Korean Journal of Gastroenterology
2008 Volume.52 No. 2 p.110 ~ p.114
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A Case of Sepsis and Acute Renal Failure Associated with Salmonella Enterocolitis
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Kim Chul-Han
Kim Jae-Woo
Suk Ki-Tae
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Abstract
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Salmonella infection can cause an asymptomatic intestinal carrier state or clinical diseases such as enterocolitis presenting abdominal pain, fever, vomiting, or diarrhea. Salmonella usually invades Peyer`s patch of terminal ileum or ascending colon. Sepsis is not common and acute renal failure secondary to rhabdomyolysis is rare. The causes of rhabdomyolysis are trauma, excessive exercise, alcohol, seizure, metabolic abnormality, and infection. Infections account for less than 5% of the reported causes of rhabdomyolysis and resulting acute renal failure. The mechanisms underlying rhabdomyolysis due to infection are direct muscle invasion, toxin production, and nonspecific effects that can occur with infections such as fever, dehydration, acidosis, and electrolyte imbalance. We report a case of sepsis and acute renal failure secondary to rhabdomyolysis associated with Salmonella infection. (Korean J Gastroenterol 2008;52:110-114)
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KEYWORD
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Salmonella, Rhabdomyolysis, Acute renal failure, Sepsis
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