Salmonella meningitis is a rare infection, unusual manifestation of salmonellosis and mostly among infants and young children. Meningitis due to Salmonella carries a higher morbidity and mortality than that caused by other bacteria. Salmonella is more commonly found in contaminated food and is included in gram-negative rods. The diagnosis is made based on the findings of Salmonella bacteria on cerebrospinal fluid (CSF). Salmonella meningitis therapy requires antimicroba that are able to penetrate the blood brain barrier and minimum treatment for at least 4 weeks to prevent death, recurrence and permanent adverse outcomes. Early diagnose of acute complications and a follow-up plans for early assessment of development are very important. Among survivors, common complications are seizure, hydrocephalus, subdural empyemas and permanent disabilities suc as retardation, paresis, athetosis and visual disturbances. We present a 3 months-old male with main complain seizure, fever, and bulging of fontanelle. Neurological examination found no abnormalities, no meningeal sign, physiologic reflex was normal and no sign of lateralization. Complete blood count found with normal leukocytes and mild anemia hypochromic microcytic. Cerebrospinal fluid (CSF) analysis showed positive Pandy and None tests, high cell count, low glucose level, high protein level. The results of CSF culture and blood culture found Salmonella sp. Head CT scan reveals subchronic subdural hygroma with brachycephaly. Patient treated with third generation of cephalosporins (ceftriaxone) for 4 weeks. Prompt use of targeted antibiotics with adequate dosage and duration plays a significant role on prognosis. Patient discharge form hospital with no sign of sequele and good prognosis.
Published in | Clinical Neurology and Neuroscience (Volume 5, Issue 3) |
DOI | 10.11648/j.cnn.20210503.17 |
Page(s) | 68-71 |
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2021. Published by Science Publishing Group |
Salmonella Meningitis, Gram Negative Bacterial, Brachycephaly, Hygroma Subdural, Infants
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APA Style
Meidry Tinasia Teslatu, Dewi Sutriani Mahalini, I Gusti Ngurah Made Suwarba. (2021). Report of Salmonella Meningitis in 3-Month-Old Children. Clinical Neurology and Neuroscience, 5(3), 68-71. https://doi.org/10.11648/j.cnn.20210503.17
ACS Style
Meidry Tinasia Teslatu; Dewi Sutriani Mahalini; I Gusti Ngurah Made Suwarba. Report of Salmonella Meningitis in 3-Month-Old Children. Clin. Neurol. Neurosci. 2021, 5(3), 68-71. doi: 10.11648/j.cnn.20210503.17
AMA Style
Meidry Tinasia Teslatu, Dewi Sutriani Mahalini, I Gusti Ngurah Made Suwarba. Report of Salmonella Meningitis in 3-Month-Old Children. Clin Neurol Neurosci. 2021;5(3):68-71. doi: 10.11648/j.cnn.20210503.17
@article{10.11648/j.cnn.20210503.17, author = {Meidry Tinasia Teslatu and Dewi Sutriani Mahalini and I Gusti Ngurah Made Suwarba}, title = {Report of Salmonella Meningitis in 3-Month-Old Children}, journal = {Clinical Neurology and Neuroscience}, volume = {5}, number = {3}, pages = {68-71}, doi = {10.11648/j.cnn.20210503.17}, url = {https://doi.org/10.11648/j.cnn.20210503.17}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20210503.17}, abstract = {Salmonella meningitis is a rare infection, unusual manifestation of salmonellosis and mostly among infants and young children. Meningitis due to Salmonella carries a higher morbidity and mortality than that caused by other bacteria. Salmonella is more commonly found in contaminated food and is included in gram-negative rods. The diagnosis is made based on the findings of Salmonella bacteria on cerebrospinal fluid (CSF). Salmonella meningitis therapy requires antimicroba that are able to penetrate the blood brain barrier and minimum treatment for at least 4 weeks to prevent death, recurrence and permanent adverse outcomes. Early diagnose of acute complications and a follow-up plans for early assessment of development are very important. Among survivors, common complications are seizure, hydrocephalus, subdural empyemas and permanent disabilities suc as retardation, paresis, athetosis and visual disturbances. We present a 3 months-old male with main complain seizure, fever, and bulging of fontanelle. Neurological examination found no abnormalities, no meningeal sign, physiologic reflex was normal and no sign of lateralization. Complete blood count found with normal leukocytes and mild anemia hypochromic microcytic. Cerebrospinal fluid (CSF) analysis showed positive Pandy and None tests, high cell count, low glucose level, high protein level. The results of CSF culture and blood culture found Salmonella sp. Head CT scan reveals subchronic subdural hygroma with brachycephaly. Patient treated with third generation of cephalosporins (ceftriaxone) for 4 weeks. Prompt use of targeted antibiotics with adequate dosage and duration plays a significant role on prognosis. Patient discharge form hospital with no sign of sequele and good prognosis.}, year = {2021} }
TY - JOUR T1 - Report of Salmonella Meningitis in 3-Month-Old Children AU - Meidry Tinasia Teslatu AU - Dewi Sutriani Mahalini AU - I Gusti Ngurah Made Suwarba Y1 - 2021/09/27 PY - 2021 N1 - https://doi.org/10.11648/j.cnn.20210503.17 DO - 10.11648/j.cnn.20210503.17 T2 - Clinical Neurology and Neuroscience JF - Clinical Neurology and Neuroscience JO - Clinical Neurology and Neuroscience SP - 68 EP - 71 PB - Science Publishing Group SN - 2578-8930 UR - https://doi.org/10.11648/j.cnn.20210503.17 AB - Salmonella meningitis is a rare infection, unusual manifestation of salmonellosis and mostly among infants and young children. Meningitis due to Salmonella carries a higher morbidity and mortality than that caused by other bacteria. Salmonella is more commonly found in contaminated food and is included in gram-negative rods. The diagnosis is made based on the findings of Salmonella bacteria on cerebrospinal fluid (CSF). Salmonella meningitis therapy requires antimicroba that are able to penetrate the blood brain barrier and minimum treatment for at least 4 weeks to prevent death, recurrence and permanent adverse outcomes. Early diagnose of acute complications and a follow-up plans for early assessment of development are very important. Among survivors, common complications are seizure, hydrocephalus, subdural empyemas and permanent disabilities suc as retardation, paresis, athetosis and visual disturbances. We present a 3 months-old male with main complain seizure, fever, and bulging of fontanelle. Neurological examination found no abnormalities, no meningeal sign, physiologic reflex was normal and no sign of lateralization. Complete blood count found with normal leukocytes and mild anemia hypochromic microcytic. Cerebrospinal fluid (CSF) analysis showed positive Pandy and None tests, high cell count, low glucose level, high protein level. The results of CSF culture and blood culture found Salmonella sp. Head CT scan reveals subchronic subdural hygroma with brachycephaly. Patient treated with third generation of cephalosporins (ceftriaxone) for 4 weeks. Prompt use of targeted antibiotics with adequate dosage and duration plays a significant role on prognosis. Patient discharge form hospital with no sign of sequele and good prognosis. VL - 5 IS - 3 ER -