2000 Volume 13 Issue 2 Pages 151-156
We reported a case of acute renal failure associated with Salmonella infection. Seven year-old-girl was suffering from high fever, vomiting and severe diarrhea from September 14, 1999 and received a medical examination of a doctor of an around. Her illness was diagnosed as acute gastroenteritis and she received medication. The symptom mentioned above continued on September 16 and she was referred to our hospital because of her bad condition. Her paleness and low systolic blood pressure of 88mmHg on admission showed that she was a shock state. Because of origuria and elevation of musculogenic enzyme, blood urea nitrogen and creatinine, we diagnosed that she had acute renal failure with rhabdomyolysis. Hemodialysis therapy was started, and renal function was improved gradually after twice of hemodialysis. During her medication, she was also complicated with disseminated intravascular coagulation (DIC), but she recovered from it and discharged our hospital on the 32nd day of her illness. Salmonella typhimurium was isolated from her fecal samples. We think that various factors such as DIC and a rhabdomyolysis or advanced dehydration are piled up in this case, and that the acute renal failure did departure from symptom. Such a case was rare, so we reported with consideration of some documents.
