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Neonatal Salmonella panama infection with meningitis
A A Kostiala1, M Westerstråhle, M Muttilainen
1Jorvi Hospital, Espoo, Finland.
Acta Paediatrica (Oslo, Norway : 1992)
|October 1, 1992
Summary
Neonatal Salmonella Panama infection from a mother caused severe illness, including meningitis and brain abscess, in two infants. While most infants recovered, two continued to shed Salmonella bacteria six months later.
Area of Science:
- Neonatal infections
- Infectious diseases
- Microbiology
Background:
- Neonatal infections pose significant risks to infant health.
- Salmonella species are a common cause of bacterial infections in neonates.
- Vertical transmission of Salmonella from mother to neonate can occur.
Observation:
- Three full-term neonates acquired hospital-acquired Salmonella Panama infections from their mother.
- Two neonates developed severe complications including bacteremia, meningitis, and a brain abscess.
- One neonate experienced recurrent meningitis at two months of age.
- The third neonate presented with only gastroenteritis.
Findings:
- Despite initial severe illness, all three neonates showed normal development six months post-infection.
- Two of the affected neonates continued to excrete Salmonella in their stools six months later.
- This highlights the potential for prolonged shedding of Salmonella even after clinical recovery.
Implications:
- Neonatal Salmonella infections require prompt diagnosis and management to prevent severe outcomes.
- The findings underscore the importance of screening mothers for Salmonella during pregnancy, especially in cases of suspected transmission.
- Long-term surveillance for Salmonella shedding in neonates is crucial for controlling hospital-acquired infections.