[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.

Mikrobiyoloji Bulteni
|March 21, 2006
PubMed

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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