Subdural collections due to non-typhi Salmonella infections in two Malaysian children

H I Intan1, C D Zubaidah, A Norazah

  • 1Department of Paediatrics, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang 43400, Malaysia. ihakimah@yahoo.com

Insights

Subdural collections from non-typhi Salmonella are rare in children. Prompt surgical drainage and antibiotics led to favorable outcomes in two pediatric cases, challenging previous reports on neurological sequelae.

Area of Science:

  • Pediatric Infectious Diseases
  • Neuroscience
  • Microbiology

Background:

  • Subdural collections secondary to Salmonella infection are uncommon in pediatric populations.
  • Non-typhi Salmonella serotypes are increasingly recognized as potential pathogens in invasive pediatric infections.

Observation:

  • Two pediatric cases of subdural collections caused by non-typhi Salmonella are presented: one with subdural effusion and another with empyema.
  • Clinical presentations varied, including status epilepticus and prolonged fever without localizing signs.

Findings:

  • Diagnosis was confirmed via blood and subdural pus cultures.
  • Both patients demonstrated positive responses to surgical drainage and extended systemic antibiotic treatment.
  • Contrary to prior literature, both cases achieved favorable neurological outcomes.

Implications:

  • Highlights the importance of considering non-typhi Salmonella in pediatric subdural infections.
  • Suggests that prompt intervention, including surgical management and antibiotics, can lead to favorable neurological outcomes.
  • Warrants further investigation into the pathogenesis and management of Salmonella-associated subdural collections in children.

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