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A RARE CASE OF ACUTE GASTROENTERITIS WITH SHOCK AND ACUTE KIDNEY INJURY DUE TO SALMONELLA ENTERICA SEROVAR WELTEVREDEN

Kalenahalli Jagadish KUMAR, Dwarsala Jawahar REDDY, Harshitha T, Sowmya SHIVAPPA, Nandish H R

Infectious Diseases and Clinical Microbiology - 2026;8(2):219-223

Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, India

 

We report a 13-year-old boy who presented with acute gastroenteritis complicated by severe dehydration and shock, acute kidney injury (AKI), and encephalopathy caused by Salmonella enterica serovar Weltevreden (S. Weltevreden). T wenty-four hours after admission, the patient developed a cough, and nasopharyngeal reverse transcription polymerase chain reaction (RT-PCR) detected influenza A. However, there was no respiratory distress or tachypnea, and chest radiography was normal. This co-infection likely did not contribute to the severity of illness attributed to S. Weltevreden. The patient improved with prompt fluid resuscitation and intravenous ceftriaxone therapy and recovered completely. Non-typhoidal Salmonella infections remain clinically important because of the potential for severe disease and the growing threat of antimicrobial resistance.