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Salmonella Typhi meningitis in a 9-year old boy with urinary schistosomiasis: a case report

Flora Chacha1, Stephen E Mshana2, Mariam M Mirambo3

  • 1Department of Pediatric and child Health Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, Tanzania. chachaf733@gmail.com.

BMC Research Notes
|April 19, 2015
PubMed
Abstract

Insights

Salmonella Typhi meningitis is rare in infants but can occur in children with schistosomiasis. This case highlights the need to consider Salmonella Typhi in febrile children in endemic regions.

Area of Science:

  • Infectious Diseases
  • Parasitology
  • Pediatrics

Background:

  • Salmonella Typhi meningitis is uncommon in infants.
  • Persistent Salmonella bacteraemia is rarely documented in individuals with schistosomiasis.
  • This case underscores the need to consider a broader range of pathogens for meningitis in endemic areas.

Observation:

  • A 9-year-old boy presented with fever, headache, and abdominal pain.
  • Cerebrospinal fluid culture confirmed Salmonella Typhi infection.
  • Microscopy revealed Schistosoma haematobium eggs in urine, indicating co-infection.

Findings:

  • The patient exhibited clinical improvement with ceftriaxone and praziquantel treatment.
  • The case demonstrates a rare instance of Salmonella Typhi meningitis and persistent bacteraemia in a child with urinary schistosomiasis.
  • Successful treatment was achieved with antibiotics and antiparasitic medication.

Implications:

  • Complicated Salmonella infections should be considered in schistosomiasis-endemic regions.
  • Further research is warranted to elucidate the association between Salmonella infections and urinary schistosomiasis.
  • This case highlights the importance of considering co-infections in clinical practice.

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