Salmonella Typhi meningitis in a 9-year old boy with urinary schistosomiasis: a case report

BMC Research Notes

Uwe Groß²  Ortrud Zimmermann²  Wilhelm Schneiderhan²  Lisa Gerwing¹  Rogatus Kabymera³  Martha F Mushi¹  Mariam M Mirambo¹  Stephen E Mshana¹  Flora Chacha³ 

[1] Department of Microbiology and Immunology Weill Bugando School of Medicine, CUHAS-Bugando, Mwanza, Tanzania;Institute of Medical Microbiology, University Medical Center Goettingen, Goettingen, Germany;Department of Pediatric and child Health Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, Tanzania

关键词: Schistosoma haematobium;    Salmonella Typhi;    Meningitis;   

Others  :  1135505
DOI  :  10.1186/s13104-015-1030-2

 received in 2014-07-02, accepted in 2015-02-23,  发布年份 2015

【 摘 要 】

Background

Cases of Salmonella Typhi meningitis have been rarely reported in infants. There are few documented cases of persistent salmonella bacteraemia in patients with schistosomiasis. A presented case highlights the importance of broadening the list of pathogens that can cause meningitis among older children in schistosomiasis endemic regions.

Case presentation

The reported case is of a 9-year old sukuma-black African boy referred to Bugando Medical Centre with complaints of fever, abdominal pain, headache and generalized body weakness. On examination; the child was febrile (39°C) with neck stiffness and distended abdomen. Cerebrospinal fluid culture was positive for Salmonella Typhi. In addition on urine sediments microscopy, Schistosoma haematobium eggs were seen. The child improved clinically on ceftriaxone and praziquantel, and was discharged 3 weeks after admission.

Conclusion

Complicated persistent salmonella infection should be considered in schistosomiasis endemic areas. More research should be done to confirm the association between salmonella infections and urinary schistosomiasis.

【 授权许可】

   
2015 Chacha et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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