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Salmonella paratyphi B meningitis in an infant
Rajan Mahalakshmi1, Bijje Rajeshbabu, Ram Mohan
1Sri Ramachandra Medical College & Research Institute, Chennai, Tamil Nadu, India.
The Australasian Medical Journal
|August 14, 2013
Summary
Salmonella Paratyphi B meningitis is rare in infants. This case highlights the importance of considering this bacterial infection in young infants presenting with fever and neurological symptoms.
Area of Science:
- Pediatric infectious diseases
- Bacteriology
- Neurology
Background:
- Meningitis is a serious infection of the membranes surrounding the brain and spinal cord.
- Salmonella Paratyphi B is a bacterium that can cause various infections, including bloodstream infections and meningitis.
- Infantile meningitis requires prompt diagnosis and treatment to prevent severe complications.
Observation:
- A 90-day-old male infant presented with fever, vomiting, and a vacant stare.
- Clinical examination revealed a toxic appearance and a bulging anterior fontanelle.
- These symptoms suggested increased intracranial pressure and a potential central nervous system infection.
Findings:
- Blood and cerebrospinal fluid cultures were performed.
- Cultures identified the presence of Salmonella Paratyphi B.
- This confirmed a diagnosis of Salmonella Paratyphi B meningitis.
Implications:
- This case underscores the importance of considering Salmonella Paratyphi B in the differential diagnosis of meningitis in infants.
- Early identification and appropriate antibiotic therapy are crucial for favorable outcomes.
- Further research into the epidemiology and management of Salmonella Paratyphi B meningitis in neonates and infants is warranted.
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