Advertisement

Pediatric Nephrology

, Volume 21, Issue 8, pp 1209–1210 | Cite as

Acute renal failure with encephalopathy following Salmonellaenteritidis infection

  • Tohru Nakahata
  • Koji Tsugawa
  • Shinobu Waga
  • Hiroshi TanakaEmail author
Letter to the Editors

Salmonellosis is one of the major causes of food poisoning in Japan. In general, consumption of food contaminated with non-typhi Salmonella causes acute gastroenterocolitis. However, salmonellosis has also been reported to be associated with development of severe extraintestinal multiorgan complications, including rhabdomyolysis (RM), acute renal failure (ARF), and rarely acute encephalopathy [1, 2, 3, 4, 5]. In this paper, we report on a patient with systemic lupus erythematosus (SLE) who developed ARF with suspected acute encephalopathy following Salmonella enteritidis infection. The patient was under treatment with immunosuppressive agents. Since patients with SLE are at an increased risk of severe infections [6], this case report may serve to emphasize the importance of prevention of food poisoning and of advocating appropriate hygienic practice in immunocompromised hosts.

A 16-year-old Japanese girl with a 3-year history of SLE with WHO class IV disease was referred to our...

Keywords

Systemic Lupus Erythematosus Acute Renal Failure Blood Urea Nitrogen Cefoperazone Creatinine Kinase 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Abdulla AJJ, Moorhead JF, Sweny P (1993) Acute tubular necrosis due to rhabdomyolysis and pancreatitis associated with Salmonella enteritidis food poisoning. Nephrol Dial Transplant 8:672–673PubMedGoogle Scholar
  2. 2.
    Blaauw AAM, Tobe TJM, Derksen RWHM, Bijlsma JWJ (2002) A patient with systemic lupus erythematosus and Salmonella enteritidis bacteraemia complicated by rhabdomyolysis and acute cholecystitis. Rheumatology 39:110–112CrossRefGoogle Scholar
  3. 3.
    Brncic N, Viskovic I, Sasso A, Kraus I, Zamolo G (2002) Salmonella infection-associated acute rhabdomyolysis. Some pathogenic considerations. Arch Med Res 33:313–315CrossRefGoogle Scholar
  4. 4.
    Lagarde C, Peyronnet P, Denis F, Benzakour M, Leroux-Robert C (1989) Salmonella bonariensis salmonellosis, rhabdomyolysis, and acute renal failure. Nephron 53:179–180CrossRefGoogle Scholar
  5. 5.
    Minami K, Yanagawa T, Okuda M, Suzuki H, Tamura A, Izumi G, Yoshikawa, N (2004) Cerebrospinal fluid cytokines in Salmonella urbana encephalopathy. Tohoku J Exp Med 203:129–132CrossRefGoogle Scholar
  6. 6.
    Tanaka H, Suzuki K, Nakahata T, Tateyama T, Sugimoto K, Ito E, Waga S (2002) Disseminated candidiasis following prednisolone therapy in systemic lupus erythematosus. Pediatr Int 44:702–704CrossRefGoogle Scholar

Copyright information

© IPNA 2006

Authors and Affiliations

  • Tohru Nakahata
    • 1
  • Koji Tsugawa
    • 1
  • Shinobu Waga
    • 2
  • Hiroshi Tanaka
    • 1
    Email author
  1. 1.Department of PediatricsHirosaki University School of MedicineHirosakiJapan
  2. 2.National Aomori HospitalAomoriJapan

Personalised recommendations