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[Salmonella Enteritidis meningitis in an infant. Case report and literature review]

Constanza Bay1, Macarena Jofré1, Daniela Kuzmanic2

  • 1Programa de Formación en Pediatría, Departamento de Pediatría, Pontificia Universidad Católica de Chile, Santiago, Chile.

Revista Chilena De Infectologia : Organo Oficial De La Sociedad Chilena De Infectologia
|January 5, 2021
PubMed

Insights

Salmonella Enteritidis meningitis is rare in infants but requires prompt diagnosis and treatment. This case highlights successful treatment with ceftriaxone and ciprofloxacin in an 11-month-old.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neurology

Background:

  • Salmonella spp meningitis is a rare but serious condition in children, particularly those under six months.
  • The enteric subspecies, especially Salmonella Enteritidis, is the most common worldwide.
  • High complication rates, including collections and abscesses, necessitate neuroimaging for all patients.

Observation:

  • This report details the first case of Salmonella Enteritidis meningitis in Chile.
  • The patient was an 11-month-old infant presenting with fever and focal epileptic seizures.
  • Blood and cerebrospinal fluid cultures confirmed Salmonella Enteritidis infection.

Findings:

  • The infant received a four-week treatment course comprising ceftriaxone and ciprofloxacin.
  • The patient demonstrated a positive response to the prescribed antibiotic therapy.
  • Antibiotic resistance, though infrequent, is a growing concern, particularly in developing nations.

Implications:

  • This case underscores the importance of considering Salmonella Enteritidis in pediatric meningitis, even in regions where it's less common.
  • Early diagnosis and appropriate antibiotic treatment, such as third-generation cephalosporins, are crucial for favorable outcomes.
  • Continued surveillance for antibiotic resistance in Salmonella spp is essential for effective treatment strategies.

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