Salmonella enterica serovar Panama meningitis in exclusive breastfeeding infants: Report of 4 cases, clinical features and therapeutic challenges
| Autor: | Rémi Kom-Tchameni, Falucar Njuieyon, Fanny Henaff, Emma Cuadro, Sitraka Herinantenaina Razafindrakoto, Laurence Long, Antoine Defo, Yajaira Mrsic, Narcisse Elenga, Aba Mahamat, Elise Martin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Serotype Male Pediatrics medicine.medical_specialty 030106 microbiology Salmonella panama Breastfeeding Salmonella infection Meningitis Bacterial 03 medical and health sciences 0302 clinical medicine 030225 pediatrics case reports medicine Humans Clinical Case Report biology business.industry Infant Salmonella enterica meningitis General Medicine biology.organism_classification medicine.disease Hydrocephalus Diarrhea Breast Feeding Early Diagnosis exclusive breastfeeding Immunology Salmonella Infections Female medicine.symptom business Meningitis Breast feeding Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Rationale: The pathway of Nontyphoid Salmonella meningitis, especially in exclusive breastfeeding infants, has not been well characterized. Patient concerns: We analyzed data related to nontyphoid Salmonella meningitis in 4 infants. Diagnoses: No diarrhea was observed and the coproculture was negative for all patients. Interventions: Early diagnosis and treatment with combination of third-generation cephalosporins plus quinolones for a minimum of 3 weeks is necessary to avoid severe sequelae and death. Outcomes: The first 3 patients had a good evolution, whereas the last patient had multiple brain abscesses and hydrocephalus requiring treatment with a ventriculoperitoneal shunt. Lessons: The highlights of our study are that all infants were exclusively breastfed, no diarrhea observed and the negative coproculture for all the 4 patients, which is relatively rare for Salmonella infection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|