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Published on: July 29, 2022
[Postoperative meningitis caused by an unusual etiological agent: Salmonella enteritidis]
Y Aissaoui1, H Azendour, H Balkhi
1Service de Réanimation Polyvalente et d'Anesthésie-Réanimation, Hôpital Militaire d'Instruction Mohamed-V, 10000 Rabat, Maroc. shadowyounes@hotmail.com
Abstract:
Salmonella intracranial infections are unusual in adults, and particularly after neurosurgical procedures. We report a case of post-operative meningitis owing to Salmonella enteritidis. A 72-year-old man with type 2 diabetes was admitted to our unit for postoperative evaluation and management after neoplasic intracranial surgery. On the third day of admission, the patient developed infectious signs and diagnosis of postoperative meningitis was evoked. The cultivation of cerebrospinal fluid revealed Salmonella enteritidis which was also identified in several blood cultures. The treatment consisted of third-generation cephalosporin and quinolone to which Salmonella enteritidis was susceptible. However, the clinical course was poor and the patient died on day 8. This case demonstrates that postoperative meningitis can be caused by an unusual agent like Salmonella enteritidis.
Insights
Salmonella enteritidis is an unusual cause of post-neurosurgical meningitis in adults. This case highlights the importance of considering rare pathogens in postoperative infections, even with appropriate antibiotic treatment.
Area of Science:
- Neuroscience
- Infectious Diseases
- Microbiology
Background:
- Salmonella intracranial infections are rare in adults, especially following neurosurgical procedures.
- Postoperative meningitis typically involves common bacterial pathogens.
Observation:
- A 72-year-old male with type 2 diabetes developed infectious signs three days after intracranial surgery.
- Cerebrospinal fluid and blood cultures identified Salmonella enteritidis.
Findings:
- The patient was diagnosed with postoperative meningitis caused by Salmonella enteritidis.
- Treatment with third-generation cephalosporin and quinolone was initiated, to which the pathogen was susceptible.
Implications:
- This case underscores that Salmonella enteritidis can be an unexpected causative agent of postoperative meningitis.
- Highlights the need for broad-spectrum pathogen identification in complex postoperative infections.
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