title: Teaching NeuroImages: acute cerebellitis caused by Salmonella typhimurium.
abstract: A 63-year-old woman presented with 24 hours of dysarthria, confusion, and appendicular ataxia preceded by watery diarrhea, without fever, nausea, vomiting, meningeal signs, recent travel, or antibiotic use. She had type II diabetes and gastroesophageal reflux disease (on proton pump inhibitor). She had consumed inadequately cooked beef stew left at room temperature for 24 hours. Blood cultures were positive for Salmonella typhimurium. CSF showed 15 nucleated cells, 72% monocytoid; remainder of CSF was normal. MRI was consistent with cerebellitis (figure). At 3 months, after 3 weeks of IV ceftriaxone, she remained dysarthric with bilateral dysmetria.
authors.affiliation: Department of Clinical Neurological Sciences, University of Western Ontario, London, ON, Canada.
authors.forename: Philippe
authors.initials: P
authors.lastname: Rizek
authors.forename: Florence
authors.initials: F
authors.lastname: Morriello
authors.forename: Manas
authors.initials: M
authors.lastname: Sharma
authors.forename: Teneille
authors.initials: T
authors.lastname: Gofton
mesh_terms: D000208:Acute Disease; D002526:Cerebellar Diseases / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012478:Salmonella Food Poisoning / Q000150:complications / Q000175:diagnosis*; D012486:Salmonella typhimurium / Q000302:isolation & purification*