[Salmonella enteritis with a serious course in patients without a suppressed immune system]

Infections with salmonellae causing gastroenteritis rarely lead to bacteremia (1-4%), and serious courses are almost exclusively observed in patients with a compromised immune system. In 1986-1987 we observed 4 patients with no evidence of disturbed cell-mediated immunity, who presented with severe bacteremic salmonellosis (1 patient with S. Heidelberg and 3 with S. enteritidis). 1 patient had septic shock with rhabdomyolysis, 1 patient acute renal failure and 1 patient acute endocarditis.