title: Septic arthritis by Salmonella enteritidis after heart transplantation.
abstract: A 13-year-old boy underwent orthotopic heart transplantation for end-stage idiopathic dilated cardiomyopathy. Immunosuppressive therapy consisted of cyclosporine, azathioprine, prednisone, and antithymocyte globulin. Endomyocardial biopsies revealed persistent moderate rejection, which was treated aggressively. In the sixth week, septic arthritis by Salmonella enteritidis developed. We discuss our management of this exceptional complication and the poor results obtained because of superimposed cytomegalovirus infection.
authors.affiliation: Service of Rheumatology, Hospital Clínica Puerta de Hierro, Universidad Autónoma de Madrid, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Martin-Santos
authors.forename: L
authors.initials: L
authors.lastname: Alonso-Pulpon
authors.forename: G
authors.initials: G
authors.lastname: Pradas
authors.forename: V
authors.initials: V
authors.lastname: Cuervas-Mons
authors.forename: M
authors.initials: M
authors.lastname: Anguita
authors.forename: J
authors.initials: J
authors.lastname: Mulero-Mendoza
authors.forename: E
authors.initials: E
authors.lastname: Escribano
authors.forename: J
authors.initials: J
authors.lastname: Martinez-Beltran
authors.forename: D
authors.initials: D
authors.lastname: Figuera-Aymerich
mesh_terms: D000293:Adolescent; D001170:Arthritis, Infectious / Q000209:etiology*; D006084:Graft Rejection; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012480:Salmonella Infections