Salmonella typhimurium meningitis in an adult patient with AIDS.

Autor: Swe KS; Department of Microbiological Pathology, Medunsa Campus, University of Limpopo, and the National Health Laboratory Services, Pretoria, South Africa., Nagel G, Van der Westhuizen M, Hoosen AA
Jazyk: angličtina
Zdroj: Journal of clinical pathology [J Clin Pathol] 2008 Jan; Vol. 61 (1), pp. 138-9. Date of Electronic Publication: 2006 Dec 08.
DOI: 10.1136/jcp.2006.043216
Abstrakt: Salmonella meningitis is an unusual complication of Salmonella sepsis and occurs mainly in children. A rare case of Salmonella typhimurium meningitis occurring in an adult HIV positive man who presented with a history of fever and diarrhoea is reported. On examination he was dehydrated, and had oral thrush, weakness of lower limbs and neck stiffness. A septic diagnostic screen was performed and he was commenced on empiric intravenous cefotaxime therapy for meningitis. S typhimurium was cultured from cerebrospinal fluid and blood culture specimens. It was non-lactose fermenting, oxidase negative, H(2)S positive and motile. Cefotaxime was continued for 14 days and the patient responded without neurological sequelae.
Databáze: MEDLINE