Salmonella meningitis in a young child from Pakistan: a case report

Journal of Medical Case Reports

Case Report

Sabawoon Hayat¹  Sami Ullah Khan²  Zaraq Rashid Khan²  Ihtisham Ullah²  Imad Majeed²  Asim Ali² 

[1] Khyber Teaching Hospital, Peshawar, Pakistan;Lady Reading Hospital, Peshawar, Pakistan;

关键词: Salmonella;    Meningitis;    Infection;    Communicable diseases;    Infectious disease;    Antibiotic resistance;   

DOI  :  10.1186/s13256-023-04128-0

 received in 2023-06-20, accepted in 2023-08-14,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSalmonella meningitis is a rare but serious complication of Salmonella infection, primarily affecting infants, children, and immunocompromised individuals.Case presentationWe present a case of a two-and-a-half-year-old Asian boy who developed Salmonella meningitis along with pneumonia and respiratory failure. Initially, he experienced symptoms of loose motions, fever, and irritability, which progressed to neck stiffness and brisk reflexes. Cerebrospinal fluid (CSF) analysis confirmed Salmonella typhi in the CSF. Due to the worsening condition, the patient was admitted to the intensive care unit, intubated, and switched to meropenem as the antibiotic of choice after an initial empiric therapy with ceftriaxone and vancomycin. With appropriate treatment, the patient showed significant improvement, including resolution of fever and respiratory symptoms.ConclusionManagement of Salmonella meningitis is often challenging primarily because of the fact that the empiric therapy for meningitis may not always provide coverage to the multi-drug resistant Salmonella species found in South Asia. Prompt administration of appropriate antibiotics based on sensitivity testing is crucial for successful management. This case emphasizes the importance of early recognition and effective management of this uncommon yet severe complication of Salmonella infection.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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