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Chronic Salmonellosis, Urinary Schistosomiasis, and Massive Proteinuria^*

Five Egyptian male farmers, aged 12 to 23 years, with urinary schistosomiasis and proven Salmonella bacteriuria and bacteremia developed massive proteinuria. Treatment of the Salmonella infection with ampicillin resulted in rapid cessation of proteinuria with return of normal renal function, and improvement in maximal urine concentrating ability. All five patients had markedly depressed levels (<50 mg/100 ml) of complement C3 in serum on admission. Levels returned to normal 1 month after treatment with ampicillin. It is suggested that under certain circumstances prolonged Salmonella infection of the kidney (possibly through an immunologic mechanism) may lead to the nephrotic syndrome.

Accepted for publication April 15, 1972.

^* The opinions and assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the Naval Department, the Naval Service at large, or the Egyptian Ministry of Public Health.

This research forms part of Research Project MR 041.20.01-0308A of the Bureau of Medicine and Surgery, Navy Department, Washington, D. C.

Address reprint requests c/o NAMRU-3, Fleet Post Office, New York 09527.