A Salmonella infection complicated with suppurative thyroiditis and ruptured aortic mycotic aneurysm in a renal transplant recipient.
We report a renal transplant recipient who presented with fever and chills for 2 days. The blood and stool cultures revealed the growth of Salmonella enteriditis. A whole-body gallium scan played an important role in the subsequent diagnosis of suppurative thyroiditis. To our knowledge, this is the first report of acute S. enteriditis thyroiditis in a renal transplant recipient. Despite vigorous antibiotic use and a partial thyroidectomy, he experienced recurrent S. enteriditis infection, resulting in a ruptured thoracic mycotic aneurysm 1 month later. Finally the patient was successfully cured with aneurysm resection, in situ reconstruction of the thoracic aorta, and prolonged antibiotics.
Wu
S-W
SW
Division of Nephrology, Chung Shan Medical University Hospital, Taichung, Taiwan.
Chang
H-R
HR
Tsao
S-M
SM
Wu
Y-L
YL
Yao
C-C
CC
Lian
J-D
JD
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D001019:Aortic Rupture / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D001769:Blood / Q000382:microbiology; D002097:C-Reactive Protein / Q000378:metabolism; D003404:Creatinine / Q000097:blood; D004359:Drug Therapy, Combination; D005243:Feces / Q000382:microbiology; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D012480:Salmonella Infections / Q000175:diagnosis* / Q000188:drug therapy; D012477:Salmonella enteritidis / Q000302:isolation & purification; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents; D002097:C-Reactive Protein; D003404:Creatinine