Salmonella Meningitis

Kauffman, Carol A.; Hilaire, R. James St.

doi:10.1001/archneur.1979.00500450072015

Cited by 23 publications

(8 citation statements)

References 17 publications

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“…Therefore, most have an extended period of symptoms before definitive intervention. This delay may lead to high morbidity and mortality rate (40%-70%) [6, 10].…”

Section: Discussionmentioning

confidence: 99%

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Salmonella typhi Meningitis in an Immunocompetent Asian Adult

Nadeem

Elahi

Elhoufi

et al. 2019

Cureus

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Enteric salmonella infections are common in the United States though nonenteric salmonella infections in immunocompetent adults are exceedingly rare in the United States, and meningitis is one of the least common extra-intestinal sites. In addition, it is very unusual for a patient with bacterial meningitis to present with meningitis signs and symptoms of >72 h duration like aseptic meningitis. A 25-year-old Indian male, without any past medical history brought by friends to the ER had fever and irritability for a week. He became increasingly somnolent and confused three days back. Physical exam reveals signs of meningitis and laboratory showed cerebrospinal fluid (CSF) studies suggestive of bacterial meningitis. Culture of CSF grew Salmonella typhi and later on blood culture also grew S. typhi. The patient became worse with cerebral edema and hydrocephalous suspected by change in neurological status and confirmed by ultrasound of eye ball examining optic nerve sheath diameter and CT scan of brain. The patient required neurosurgical intervention and hence external ventricular drain was placed. The patient was also placed on mechanical ventilation. Subsequently he developed ventilator associated pneumonia (VAP) with carbapenem-resistant Pseudomonas aeruginosa. The patient underwent tracheostomy and successfully completed treatment of VAP and was transferred to his home country after four months. Thus we describe a rare case of salmonella meningitis in an immunocompetent adult.

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“…Therefore, most have an extended period of symptoms before definitive intervention. This delay may lead to high morbidity and mortality rate (40%-70%) [6, 10].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of salmonella meningitis in immunocompetent adults in the Middle East is unknown. Medical literature reveals only case reports [6]. We describe such a case of salmonella meningitis in an immunocompetent adult male.…”

Section: Introductionmentioning

confidence: 99%

Salmonella typhi Meningitis in an Immunocompetent Asian Adult

Nadeem

Elahi

Elhoufi

et al. 2019

Cureus

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“…Salmonella infection after neurosurgery is even less common. While intracranial Salmonella infections are rare, meningitis, subdural empyema, epidural empyema, and brain abscess have all been reported [ 4 , 6 - 9 ].…”

Section: Discussionmentioning

confidence: 99%

Salmonella Infection After Craniotomy

Byer

Rutledge

Wallender

et al. 2017

Cureus

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“…This condition primarily affects children under the age of five, especially infants, whereas in adults, Salmonella meningitis is predominantly observed in individuals with compromised immune systems. The frequency of Salmonella meningitis among immunocompetent adults in South Asia remains uncertain, with limited information available in medical literature, primarily through isolated case reports [8,9].…”

Section: Introductionmentioning

confidence: 99%

Concomitant Salmonella and Leptospira Meningitis: A Rare Case Report

Ullah,

Ahmad,

Salcedo

et al. 2024

Cureus

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This study presents a unique case of concurrent salmonella and Leptospira meningitis in a 20-year-old woman with no prior medical history. Coinfection with endemic pathogens is plausible, especially in regions like Pakistan. While Salmonella meningitis is uncommon, it presents a significant medical emergency, particularly in immunocompromised adults. Neuroleptospirosis, though rare, can manifest in certain cases. The patient displayed persistent high fever, confusion, irritability, and a single seizure episode. Initial tests, including blood and cerebrospinal fluid (CSF) cultures and serological examinations, detected Salmonella typhi and positive leptospiral antibodies, respectively. Leptomeningeal enhancement was confirmed by an MRI. Treatment with azithromycin, meropenem, and ceftriaxone led to improvement after seven days. She was advised to complete a 28-day course for Salmonella meningitis. This case emphasizes the importance of considering multiple infectious causes, especially in endemic regions. Timely and thorough diagnostic evaluation, followed by appropriate antimicrobial therapy, is essential for effective management. Further research is warranted to enhance understanding of the epidemiology, clinical features, and optimal treatment strategies for such dual infections.

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Salmonella Meningitis

Cited by 23 publications

References 17 publications

Salmonella typhi Meningitis in an Immunocompetent Asian Adult

Salmonella typhi Meningitis in an Immunocompetent Asian Adult

Salmonella Infection After Craniotomy

Concomitant Salmonella and Leptospira Meningitis: A Rare Case Report

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