[Forty-one pediatric cases of non-typhoidal salmonellosis].
Non-typhoidal Salmonella (NTS) infections are a major cause of infantile death in developing countries.


OBJECTIVE
The aim of this study was to determine the epidemiologic and therapeutic data, as well as the evolution of NTS in Morocco.


METHODS
This retrospective study was made on 41 patients hospitalized for NTS between 1994 and 2002 in the Casablanca University Hospital Pediatric ward.


RESULTS
Twenty cases of digestive salmonellosis were diagnosed, 16 cases of septicemia, and 10 cases of meningitis. Ten patients were hospitalized after an outbreak of resistant Salmonella typhimurium in a nursery. Fifty percent of the patients were less than 3 months of age. The three patients between 1 and 3 years of age presented with primary immunodeficiency. Fever, vomiting, and diarrhea were noted in 97% of the cases. The stools were watery in 89% and severe dehydration in 55% of the cases. Salmonella strains were identified in blood in 25 cases, from stools in 10 cases, and from CSF in nine cases. The following Salmonella serotypes were identified: S. typhimurium (53.6%), S. enteritidis (44%), and S. agona (2.4%). Resistance to antibiotics was noted, especially for Salmonella typhimurium (34%) in the nursery outbreak. The evolution was favorable in 80%, but two children with meningitis developed severe neurological sequels, and six hypotrophic infants under 3 years of age died after septicemia.
Ailal
F
F
Service de pédiatrie 1, hôpital d'enfants, CHU Ibn-Rochd, 20150 Casablanca, Maroc. failal@hotmail.com
Bousfiha
A A
AA
Jouhadi
Z
Z
Adnane
F
F
Abid
A
A
D002648:Child; D002656:Child Day Care Centers / Q000706:statistics & numerical data; D002675:Child, Preschool; D015897:Comorbidity; D003968:Diarrhea, Infantile / Q000453:epidemiology / Q000382:microbiology; D004196:Disease Outbreaks; D024901:Drug Resistance, Multiple, Bacterial; D005183:Failure to Thrive / Q000453:epidemiology; D005260:Female; D005759:Gastroenteritis / Q000453:epidemiology / Q000382:microbiology; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D007153:Immunologic Deficiency Syndromes / Q000453:epidemiology; D007223:Infant; D007297:Inpatients; D008297:Male; D016920:Meningitis, Bacterial / Q000453:epidemiology / Q000382:microbiology; D009018:Morocco / Q000453:epidemiology; D012189:Retrospective Studies; D012480:Salmonella Infections / Q000453:epidemiology* / Q000382:microbiology; D012477:Salmonella enteritidis / Q000187:drug effects / Q000302:isolation & purification*; D012486:Salmonella typhimurium / Q000187:drug effects / Q000302:isolation & purification*; D012621:Seasons; D018805:Sepsis / Q000453:epidemiology / Q000382:microbiology / Q000401:mortality; D014505:Urban Population