title: Rare infections are just an airplane trip away: Salmonella typhi meningitis in a recent immigrant to the United States.
abstract: We report a case of a 24-year-old immigrant from Bangladesh with Salmonella typhi meningitis, a rare disease in the United States, especially among adults. The common manifestations of meningitis such as neck rigidity and changes in mental status did not develop and Kernig sign was absent. The patient was successfully treated with intravenous ceftriaxone. This case demonstrates the importance of considering endemic infections in the country of origin when recent immigrants and returnees to the United States present with febrile illness.
authors.affiliation: Jackson Memorial Hospital, Jackson Health System, Miami, Florida, USA.
authors.forename: Ia
authors.initials: Ia
authors.lastname: Zagvazdina
authors.forename: Yuri
authors.initials: Y
authors.lastname: Zagvazdin
authors.forename: George E
authors.initials: GE
authors.lastname: Willis
authors.forename: Jesus H
authors.initials: JH
authors.lastname: Gonzalez
authors.forename: Wendy
authors.initials: W
authors.lastname: Lesser
authors.forename: Gordon M
authors.initials: GM
authors.lastname: Dickinson
mesh_terms: D000328:Adult; D000401:Aircraft; D001459:Bangladesh / Q000208:ethnology; D002443:Ceftriaxone / Q000627:therapeutic use; D004641:Emigration and Immigration; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000188:drug therapy / Q000382:microbiology* / Q000635:transmission*; D012480:Salmonella Infections / Q000188:drug therapy / Q000382:microbiology* / Q000635:transmission*; D012485:Salmonella typhi / Q000502:physiology*; D014195:Travel; D014481:United States
chemical_list: D002443:Ceftriaxone