Medical Case Reports

A Rare Cause of Sepsis in a Patient with Chronic Kidney Disease-A Case Report

There are multiple microbial aetiological possibilities of sepsis with severe community acquired pneumonia in Chronic Kidney Disease patents with the outcome depending on host immune status and prompt relevant focused therapy. We report a fulminant case of sepsis who presented with features of meningitis and extensive cavitating pneumonia. Bronchoscopy revealed presence of Eschrechia coli and surprisingly Strongyloides stercoralis on wet mount BAL microscopic examination. The patient had presented in a very critical condition of refractory sepsis and meningitis with non-specific premonitory symptoms like fever, breathlessness and an episode of diarrhoea. Therefore, a high index of suspicion for parasitemia is suggested even in non-transplant patients of Chronic Kidney disease patients in refractory sepsis.

Author(s): Sivaresmi Unnithan*

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