title: Salmonella berta meningitis in a term neonate.
abstract: We report the case of a 37-week male infant born via spontaneous vaginal delivery who developed Salmonella berta sepsis and meningitis. The infant was born to a mother with active diarrhea and stool cultures growing S. berta. On day 3, the infant developed poor feeding, lethargy, apnea and bradycardia prompting a sepsis evaluation. Blood, stool and cerebrospinal fluid cultures were positive for S. berta. An electroencephalogram performed for posturing revealed neonatal status epilepticus. Extensive bilateral periventricular venous hemorrhagic infarctions with multiple herniations were seen on brain magnetic resonance imaging. The infant's condition continued to deteriorate despite maximal support and care was redirected towards comfort measures.
authors.affiliation: Division of Neonatology, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.
authors.forename: A C
authors.initials: AC
authors.lastname: Bowe
authors.affiliation: Division of Neonatology, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.
authors.forename: M
authors.initials: M
authors.lastname: Fischer
authors.affiliation: Division of Pediatric Infectious Disease, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Waggoner-Fountain
authors.affiliation: Division of Pediatric Neurology, Department of Neurology, University of Virginia, Charlottesville, VA, USA.
authors.forename: K C
authors.initials: KC
authors.lastname: Heinan
authors.affiliation: Division of Pediatric Neurology, Department of Neurology, University of Virginia, Charlottesville, VA, USA.
authors.forename: H P
authors.initials: HP
authors.lastname: Goodkin
authors.affiliation: Division of Neonatology, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.
authors.forename: S A
authors.initials: SA
authors.lastname: Zanelli
mesh_terms: D016470:Bacteremia / Q000175:diagnosis* / Q000628:therapy; D003131:Combined Modality Therapy; D018450:Disease Progression; D004569:Electroencephalography / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D012475:Salmonella / Q000145:classification*; D012480:Salmonella Infections / Q000175:diagnosis* / Q000628:therapy; D012720:Severity of Illness Index; D047929:Term Birth