title: Severe sepsis from a Ciprofloxacin resistant salmonellosis in a kidney transplant recipient.
abstract: BACKGROUND
  Salmonellosis is a relatively rare complication in kidney transplant recipients that cannot be clinically distinguished from other forms of enteritis. Among kidney transplant patients, it varies broadly in intensity, and is highly associated with extra-intestinal disease, bacteremia, and, in this case, a high mortality rate.
  
  
  METHODS
  Here we describe a clinical case of ciprofloxacin resistant salmonellosis in a kidney transplant patient.
  
  
  CONCLUSIONS
  This case illustrates how immunosuppressed patients can be exposed to rare forms of infection, often clinically difficult to identify, and possibly with severe clinical courses and poor outcomes despite evidence-based empiric antibiotic therapy.
authors.affiliation: Universidade Federal de Juiz de Fora, Brazil.
authors.forename: Matheus Miranda
authors.initials: MM
authors.lastname: Mendes
authors.affiliation: Universidade Federal de Juiz de Fora, Brazil.
authors.forename: Moisés
authors.initials: M
authors.lastname: Carminatti
authors.affiliation: Universidade Federal de Juiz de Fora, Brazil.
authors.forename: Hélady Sanders
authors.initials: HS
authors.lastname: Pinheiro
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000494:pharmacology* / Q000627:therapeutic use*; D002939:Ciprofloxacin / Q000494:pharmacology* / Q000627:therapeutic use*; D024881:Drug Resistance, Bacterial; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications / Q000188:drug therapy* / Q000382:microbiology*; D012475:Salmonella / Q000187:drug effects*; D012480:Salmonella Infections / Q000188:drug therapy*; D018805:Sepsis / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin