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Fatal neonatal Salmonella enteritidis sepsis.
1Division of Pediatric Surgery, University of Vienna, Austria.
Summary
A newborn rapidly developed an acute abdomen and bloody diarrhea, leading to a fatal Salmonella enteritidis group D infection. This case highlights the critical risk of maternal-neonatal transmission during delivery.
Area of Science:
- Neonatal infections
- Bacteriology
- Infectious disease transmission
Background:
- Neonatal infections pose significant risks to infant health.
- Salmonella enteritidis is a pathogen that can cause severe illness.
Observation:
- A neonate presented with acute abdominal symptoms and bloody diarrhea within 24 hours of birth.
- Clinical presentation suggested conditions like midgut volvulus or necrotizing enterocolitis.
Findings:
- Autopsy and bacteriologic studies confirmed sepsis caused by Salmonella enteritidis group D.
- The identical organism was identified in maternal stool and vaginal cultures, confirming transmission during delivery.
Implications:
- This case underscores the importance of recognizing Salmonella enteritidis as a cause of severe neonatal sepsis.
- It highlights the potential for intrapartum transmission from mother to neonate.
- Early identification and management of maternal infections are crucial to prevent neonatal outcomes.