Salmonella meningitis in a paediatric patient caused by Salmonella enterica serotype Houtenae.
The authors report a case of a 6-week-old baby girl who was admitted to the paediatric ward due to a high fever for 2 days. The patient experienced three fits which took place while in the ward. A brain sonogram showed subdural heterogeneous collection consistent with focal empyema; however, no hydrocephalus or infarction was detected. An urgent Burr hole procedure was performed to remove the collected pus. Both blood and cerebrospinal fluid (CSF) culture grew Salmonella species which remain sensitive to some antibiotics. This strain was sent to the institute of medical research (IMR) for serotyping. The patient was treated with intravenous combination of ceftriaxone and ciprofloxacin for 3 weeks. One week later, IMR sent results that identified the strain as Salmonella enterica serotype Houtenae. Following antibiotic treatment, repeat ultrasound illustrated an improvement of the subdural empyema, and the gram stain of the CSF specimen failed to isolate bacteria.
Cyberjaya University College of Medical Sciences, Cyberjaya, Malaysia. aralmadi@yahoo.com
Amal Rashad
AR
Nimir
Rosni
R
Ibrahim
Ibrahim Abdel Aziz
IA
Ibrahim
D005260:Female; D006801:Humans; D007223:Infant; D016920:Meningitis, Bacterial / Q000382:microbiology*; D012480:Salmonella Infections; D019779:Salmonella enterica / Q000145:classification*; D012703:Serotyping