Salmonella Durban meningitis: case report and genomics study

Christelle Nanga Diasi1,2, Pieter-Jan Ceyssens3, Alexandra Vodolazkaia4

  • 1Department of Pediatrics, CHC, Clinique MontLégia, Liège, Belgium.

Abstract

Insights

A rare Salmonella meningitis case in an infant highlights the dangers of non-typhoid Salmonella infections. Genomic analysis linked this Salmonella enterica serovar Durban to historical cases, emphasizing global health surveillance needs.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Non-typhoid Salmonella meningitis is a severe, often fatal condition, particularly prevalent in low and middle-income countries.
  • Early diagnosis and intervention are critical for managing bacterial meningitis in infants.

Observation:

  • A six-month-old Belgian infant presented with symptoms initially thought to be mild but rapidly deteriorated.
  • Diagnostic tests, including cerebrospinal fluid analysis, confirmed bacterial meningitis.
  • The causative agent was identified as Salmonella enterica serovar Durban by the National Reference Center.

Findings:

  • This case represents an unusually rare serovar of Salmonella causing meningitis.
  • Genomic typing revealed a connection between this Salmonella Durban strain and historical cases originating from Guinea.
  • The study provides detailed clinical presentation and genomic data for this rare serovar.

Implications:

  • This case underscores the importance of considering non-typhoid Salmonella in infant meningitis, even in high-income countries.
  • Genomic surveillance is crucial for tracking the spread and evolution of rare bacterial pathogens.
  • Understanding the origins and transmission patterns of Salmonella serovars can inform public health strategies and outbreak response.