A case of fatal acute pyogenic meningitis in a neonate caused by extended-spectrum beta-lactamase producing Salmonella group B.
Salmonellosis constitutes an important public health problem throughout the world. In severe infections like meningitis and septicemia, antibiotic treatment is essential. Extended-spectrum cephalosporins are preferentially used to treat salmonellosis in children. Treatment failures due to in-vivo acquisition of an extended-spectrum beta-lactamase (ESBL) gene in nontyphoidal salmonellae are now well established. A 45-day-old male baby presented to the pediatric intensive care unit with a history of fever, poor feeding, two episodes of seizures of 3 days duration and recurrent apnoea. At admission, cerebrospinal fluid, stool and blood cultures were done and Salmonella enterica serovar Typhimurium was isolated from all the samples. The stool isolate was confirmed to be ESBL producing. The baby expired due to acute pyogenic meningitis.
Menezes
Godfred Antony
GA
Department of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Harish
Belgode Narasimha
BN
Parija
Subhash Chandra
SC
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001769:Blood / Q000382:microbiology; D002555:Cerebrospinal Fluid / Q000382:microbiology; D017809:Fatal Outcome; D005243:Feces / Q000382:microbiology; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000382:microbiology*; D008826:Microbial Sensitivity Tests; D012480:Salmonella Infections / Q000382:microbiology*; D012486:Salmonella typhimurium / Q000145:classification / Q000187:drug effects / Q000201:enzymology* / Q000302:isolation & purification*; D018440:beta-Lactam Resistance; D001618:beta-Lactamases / Q000096:biosynthesis*
D000900:Anti-Bacterial Agents; D001618:beta-Lactamases