2017
DOI: 10.1155/2017/1051975
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New Diagnosis of AIDS Based on Salmonella enterica subsp. I (enterica) Enteritidis (A) Meningitis in a Previously Immunocompetent Adult in the United States

Abstract: Salmonella meningitis is a rare manifestation of meningitis typically presenting in neonates and the elderly. This infection typically associates with foodborne outbreaks in developing nations and AIDS-endemic regions. We report a case of a 19-year-old male presenting with altered mental status after 3-day absence from work at a Wisconsin tourist area. He was febrile, tachycardic, and tachypneic with a GCS of 8. The patient was intubated and a presumptive diagnosis of meningitis was made. Treatment was initiat… Show more

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Cited by 2 publications
(2 citation statements)
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“…HIV positive patients [5] or patients having immune suppressing medication like steroids [7] or tumor necrosis factor antagonist [8] or a previously presumed immunocompetent patient later found as immunosuppression, i.e. AIDS [9]. Rarely it infects immunocompetent patient who has structural abnormalities or chronic conditions such as malignancy, diabetes, or sickle cell disease [10].…”
Section: Discussionmentioning
confidence: 99%
“…HIV positive patients [5] or patients having immune suppressing medication like steroids [7] or tumor necrosis factor antagonist [8] or a previously presumed immunocompetent patient later found as immunosuppression, i.e. AIDS [9]. Rarely it infects immunocompetent patient who has structural abnormalities or chronic conditions such as malignancy, diabetes, or sickle cell disease [10].…”
Section: Discussionmentioning
confidence: 99%
“…The patient presented here is unique because she was immunosuppressed secondary to a multiyear history of biologic DMARD use for treatment of rheumatoid arthritis. The few case reports of documented Salmonella meningitis in immunosuppressed American adults present a disease course secondary to HIV [ 5 , 7 ]. TNF antagonists such as etanercept work by interrupting the TNF pathway and suppressing the body's inflammatory response.…”
Section: Discussionmentioning
confidence: 99%