Septic Shock Secondary to Salmonella Enterica Ssp. Arizonae in an Immunocompetent Albanian Male

Salmonella-associated diarrhea is a common cause of community-acquired gastroenteritis. Some species of salmonella are associated with invasive diseases like meningitis, endocarditis and septicemia. A 75-year-old Albanian male presented to the emergency department in septic shock. He had history of severe watery diarrhea and high fever of 5 days duration. His stool had a dark green watery consistency imparting a “green pea soup” appearance. Emergency laboratory work-up revealed leukocytosis and acute renal injury. Blood cultures as well as stools yielded S. enterica ssp. arizonae. He was treated with intravenous antibiotics and aggressive fluid resuscitation. Detailed questioning failed to reveal the usual reported risk factors for invasive salmonella infection.