FATALITY DUE TO SEVERE SALMONELLA-ENTERITIS ASSOCIATED WITH ACUTE-RENAL-FAILURE AND SEPTICEMIA

A 66-year-old man was hospitalized for abdominal pain and diarrhea of more than 10 times a day, He had been under regular medication with pr ednisolone for rheumatoid arthritis, On admission, laboratory data and clinical examination indicated inflammation, dehydration, acute renal failure with a high level of serum musculogenic enzyme (creatine kina se), and ileus. Salmonella enteritidis was isolated from his fecal and blood samples, The patient died within 24 hours after admission, and autopsy showed hemorrhagic necrotic enteritis localized to the ileum, Enterocolitis due to Salmonella enteritidis, which is usually an acute self-limited gastrointestinal illness, may occasionally be a serious and lethal disease.