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Published on: July 29, 2022
[Salmonella enteritidis: an unusual meningitis agent in an adult patient]
Gökhan Metan1, Emine Alp, Duygu Eşel
1Erciyes Universitesi Tip Fakültesi, infeksiyon Hastaliklan ve Klinik Mikrobiyoloji Anabilim Dali, Kayseri.
Abstract:
Salmonella species may cause wide spectrum of infections changing from enterocolitis to sepsis. However, Salmonella meningitis in adults is a rare but important clinical condition with a high mortality rate. In this report, a 71 years old male patient with Salmonella enteritidis meningitis who was followed-up with the diagnosis of immune thrombocytopenic purpura and had been administered azothioprin and prednisolone, has been presented and similar cases in the literature have been reviewed. The cerebrospinal fluid culture yielded S. enteritidis, and the isolate was intermediate susceptible to ampicillin, susceptible to cefotaxime, trimethoprim-sulphametoxasole, ciprofloxacin and chloramphenicol. Our patient was successfully treated with ceftriaxone (2 x 2 gr i.v.) and discharged with total cure.
Insights
Salmonella meningitis is rare in adults but serious. This case highlights successful treatment of Salmonella enteritidis meningitis in an immunocompromised patient using ceftriaxone, offering hope for similar rare infections.
Area of Science:
- Infectious Diseases
- Neurology
- Microbiology
Background:
- Salmonella species commonly cause enterocolitis and sepsis.
- Salmonella meningitis is a rare but potentially fatal condition in adults, particularly those who are immunocompromised.
Observation:
- A 71-year-old male with immune thrombocytopenic purpura, treated with azathioprine and prednisolone, developed Salmonella enteritidis meningitis.
- Cerebrospinal fluid culture confirmed S. enteritidis, showing intermediate susceptibility to ampicillin but susceptibility to cefotaxime, trimethoprim-sulphamethoxazole, ciprofloxacin, and chloramphenicol.
Findings:
- The patient was successfully treated with intravenous ceftriaxone.
- Complete recovery was achieved, with the patient discharged cured.
Implications:
- This case underscores the importance of considering Salmonella meningitis in immunocompromised adults presenting with neurological symptoms.
- Prompt diagnosis and appropriate antibiotic therapy, such as ceftriaxone, are crucial for favorable outcomes in rare Salmonella meningitis cases.
- Reviewing similar cases aids in understanding treatment strategies for this uncommon but severe infection.
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