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[Meningitis caused by Salmonella]

F Olivares López, R Vargas de la Rosa, M A Peredo López Velarde

    Boletin Medico Del Hospital Infantil De Mexico
    |January 1, 1981
    PubMed
    Summary
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    Salmonella meningitis is a severe infection, particularly in infants under 13 months. This bacterial meningitis presents with high mortality and significant neurological complications, requiring prompt treatment.

    Area of Science:

    • Infectious Diseases
    • Pediatrics
    • Neurology

    Context:

    • Bacterial meningitis is a serious infection of the central nervous system.
    • Salmonella species are an uncommon cause of meningitis, especially in developed countries.
    • Neonatal and infant meningitis pose significant diagnostic and therapeutic challenges.

    Purpose:

    • To review the clinical and laboratory features of eleven cases of bacterial meningitis caused by Salmonella.
    • To identify risk factors, complications, and outcomes associated with Salmonella meningitis.
    • To evaluate treatment strategies for Salmonella meningitis.

    Summary:

    • Eleven cases of Salmonella meningitis were analyzed, predominantly affecting children under 13 months.
    • Common complications included convulsive disorders and neurological coma, with a high mortality rate (36%).

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  • Cerebrospinal fluid analysis revealed elevated leukocytes and proteins with low glucose, often with a lymphocytic predominance.

    • Impact:

    • Highlights the severe clinical presentation and poor prognosis of Salmonella meningitis in young children.
    • Underscores the importance of considering Salmonella in the differential diagnosis of bacterial meningitis, especially in infants.
    • Informs treatment decisions, suggesting chloramphenicol or ampicillin as therapeutic options.