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Salmonella enteritidis meningitis - a case report

A Varaiya1, K Saraswathi, U Tendolkar

  • 1Department of Microbiology, Lokmanya Tilak Municipal Medical College, Sion, Mumbai - 400 022, India.

Indian Journal of Medical Microbiology
|August 1, 2007
PubMed

Insights

A male infant with severe malnutrition and meningitis died from Salmonella enteritidis infection. This pathogen was identified in both cerebrospinal fluid (CSF) and blood cultures, confirming the cause of the fatal outcome.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Protein energy malnutrition (PEM) is a significant risk factor for severe infections in infants.
  • Pyogenic meningitis in infants presents a critical diagnostic and therapeutic challenge.
  • Salmonella enteritidis is an opportunistic pathogen that can cause severe invasive disease.

Purpose of the Study:

  • To report a fatal case of Salmonella enteritidis meningitis in a severely malnourished infant.
  • To highlight the diagnostic findings and clinical course of invasive salmonellosis in this vulnerable population.

Main Methods:

  • Case report of a male infant presenting with symptoms of meningitis.
  • Microbiological analysis including cerebrospinal fluid (CSF) and blood cultures.
  • Clinical data review focusing on nutritional status and infection progression.

Main Results:

  • The infant was diagnosed with pyogenic meningitis and severe protein energy malnutrition.
  • Salmonella enteritidis was isolated from both CSF and blood cultures.
  • The infection led to a fatal outcome despite medical intervention.

Conclusions:

  • Salmonella enteritidis can cause fatal meningitis in infants with severe malnutrition.
  • Early and accurate diagnosis of invasive salmonellosis is crucial in malnourished infants.
  • This case underscores the importance of considering Salmonella in the differential diagnosis of meningitis in undernourished infants.

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