title: [Salmonella meningitis].
abstract: A four - month old boy with Salmonella Typhimurium meningitis is presented. This patient was admitted to the hospital with a diagnosis of staphylococcal pneumonia, pyo-pneumothorax, cardiac failure and anemia. He has been treated for 18 days and he was discharged in good condition. Two days after discharge patient was readmitted with a fever, vomiting and feeding problem. In physical examination, stiff neck and bulging of the fontanel were remarkable. Examination of cerebrospinal fluid (CSF) has revealed meningitis and cultures of blood and CSF specimens were positive for S. typhimurium. It was sensitive only to trimethoprim sulphamethoxazole and netilmicin. Trimethoprim sulphamethoxazole (IM) and netilmicin (IV) were given. At the fifth day of this treatment patient expired. Postmortem examination has revealed the same agent in both meninges tissue and CSF cultures.
mesh_terms: D001344:Autopsy; D001769:Blood / Q000382:microbiology; D002555:Cerebrospinal Fluid / Q000382:microbiology; D006801:Humans; D007223:Infant; D008297:Male; D008578:Meninges / Q000382:microbiology; D008581:Meningitis / Q000188:drug therapy* / Q000209:etiology; D009428:Netilmicin / Q000627:therapeutic use; D012480:Salmonella Infections; D012486:Salmonella typhimurium / Q000302:isolation & purification; D013420:Sulfamethoxazole / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use
chemical_list: D009428:Netilmicin; D014295:Trimethoprim; D013420:Sulfamethoxazole
vernacular_title: Salmonella menenjiti.