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Multiple brain abscesses caused by Salmonella typhi: case report.

R A Hanel1, J C Araújo, A Antoniuk

  • 1Department of Neurosurgery, Federal University of Paraná, Curitiba, Brazil.

Surgical Neurology
|March 4, 2000
PubMed
Summary
This summary is machine-generated.

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Multiple brain abscesses caused by Salmonella typhi are rare in children. This case highlights the importance of considering intracranial infection in Salmonellosis patients with neurological dysfunction, recommending surgical drainage and antibiotics.

Area of Science:

  • Pediatric Infectious Diseases
  • Neuroscience
  • Microbiology

Background:

  • Focal intracranial infections due to Salmonella species are rare.
  • Salmonella typhi is an uncommon cause of brain abscesses.

Observation:

  • A 2-month-old infant presented with gastrointestinal symptoms, fever, and neurological deficits including seizures and altered consciousness.
  • Cerebrospinal fluid analysis revealed findings consistent with meningitis.
  • Blood cultures identified Salmonella typhi, and CT scans showed multiple brain abscesses.

Findings:

  • Surgical drainage of the abscess combined with prolonged antibiotic therapy (chloramphenicol) led to a favorable outcome.
  • The infant was discharged without neurological deficits after 5 weeks of treatment.

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Implications:

  • Intracranial abscesses are a rare but serious complication of Salmonella infection in children.
  • Prompt consideration of intracranial infection is crucial in pediatric patients with Salmonellosis and neurological symptoms.
  • Effective treatment involves surgical intervention and extended antibiotic courses.