Recurrent Salmonella Enteritidis Bacteremia in a Renal Transplant Recipient

The most common clinical presentation of salmonellosis is gastroenteritis. The less frequent but the more serious complications are bacteremia and focal infections. Although recurrent bacteremia is rare, it is a potential problem for patients receiving immunosuppressive therapy. Here, we report a case of recurrent Salmonella enteritidis bacteremia in a renal transplant patient. Although the patient received a 10-day therapy with ciprofloxacin and 14-day therapy with imipenem, recurrent bacteremia with S.enteritidis was detected. In endemic areas, screening stool and urine for Salmonella carriage before and after the transplatation could be useful to avoid recurrent bacteremia in renal transplant recipients.