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Meningitis due to Salmonella in preterm neonates
Mehmet Totan1, Sükrü Küçüködük, Ayhan Dağdemir
1Department of Pediatrics, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.
Abstract:
Meningitis due to Salmonella is a rare condition. Here we report seven cases with neonatal Salmonella meningitis diagnosed and treated in the Pediatric Neonatology Unit of Ondokuz Mayis University Faculty of Medicine between January 1985-February 2001. Five cases were cured with appropriate treatment; in two of them no neurological sequelae were seen. Of the remaining three, reversible hydrocephalus occurred in two cases and subdural empyema was found in one. Two patients died on the 30th and 40th days of hospitalization: one of them had hydrocephalus and the other ventriculitis. In this report we point out the importance of neonatal meningitis due to Salmonella serotypes, though it rarely occurs.
Insights
Neonatal Salmonella meningitis is rare but serious. Prompt treatment can cure most cases, but complications like hydrocephalus and ventriculitis can occur, with some infants succumbing to the infection.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neonatology
Background:
- Salmonella meningitis is an uncommon cause of meningitis in newborns.
- Neonatal meningitis presents significant challenges in diagnosis and management.
Purpose of the Study:
- To report on cases of neonatal Salmonella meningitis.
- To highlight the importance of recognizing and treating this rare condition.
Main Methods:
- Retrospective review of seven neonatal Salmonella meningitis cases.
- Diagnosis and treatment provided at a Pediatric Neonatology Unit.
Main Results:
- Five of seven neonates were cured with appropriate treatment.
- Neurological sequelae, including reversible hydrocephalus and subdural empyema, were observed in some cases.
- Two patients died due to complications such as hydrocephalus and ventriculitis.
Conclusions:
- Neonatal Salmonella meningitis, though rare, requires prompt and appropriate management.
- Early diagnosis and treatment are crucial for improving outcomes and preventing severe complications.