Salmonella enterica Serotype Arizonae Meningitis in a Neonate

Typhoidal and nontyphoidal salmonella infections are common causes of gastroenteritis in the community. However, salmonella only rarely causes invasive infections like meningitis. We report a 13-day-old female neonate with signs and symptoms of meningitis whose cerebrospinal fluid (CSF) culture show...

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Main Authors: Wubishet Lakew, Abayneh Girma, Elizabeth Triche
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2013/813495
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author Wubishet Lakew
Abayneh Girma
Elizabeth Triche
author_facet Wubishet Lakew
Abayneh Girma
Elizabeth Triche
author_sort Wubishet Lakew
collection DOAJ
description Typhoidal and nontyphoidal salmonella infections are common causes of gastroenteritis in the community. However, salmonella only rarely causes invasive infections like meningitis. We report a 13-day-old female neonate with signs and symptoms of meningitis whose cerebrospinal fluid (CSF) culture showed Salmonella enterica serotype Arizonae that was sensitive to ceftriaxone. She presented with fever and failure to feed for 2 days. Despite prompt treatment with ampicillin, gentamicin, and ceftriaxone, she developed communicating hydrocephalus, frequent seizures, and coma that progressed to death after 2 weeks of hospitalization. Salmonella enterica serotype Arizonae is a rare cause of human infection known to leading to meningitis symptoms similar to those caused by other salmonella species. This is the first report of it as a cause of meningitis in a child under one month of age. Therefore, it should be included in the differential diagnosis of Gram-negative bacillary meningitis in immunocompromised children, neonates, and those with contacts with reptiles.
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institution Kabale University
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spelling doaj-art-9c02c2e889ed4ea9938abaa4840fc2ee2025-02-03T07:26:00ZengWileyCase Reports in Pediatrics2090-68032090-68112013-01-01201310.1155/2013/813495813495Salmonella enterica Serotype Arizonae Meningitis in a NeonateWubishet Lakew0Abayneh Girma1Elizabeth Triche2Department of Pediatrics and Child Health, University of Gondar, 196 Gondar, EthiopiaDepartment of Pediatrics and Child Health, University of Gondar, 196 Gondar, EthiopiaDepartment of Pediatrics and Child Health, University of Gondar, 196 Gondar, EthiopiaTyphoidal and nontyphoidal salmonella infections are common causes of gastroenteritis in the community. However, salmonella only rarely causes invasive infections like meningitis. We report a 13-day-old female neonate with signs and symptoms of meningitis whose cerebrospinal fluid (CSF) culture showed Salmonella enterica serotype Arizonae that was sensitive to ceftriaxone. She presented with fever and failure to feed for 2 days. Despite prompt treatment with ampicillin, gentamicin, and ceftriaxone, she developed communicating hydrocephalus, frequent seizures, and coma that progressed to death after 2 weeks of hospitalization. Salmonella enterica serotype Arizonae is a rare cause of human infection known to leading to meningitis symptoms similar to those caused by other salmonella species. This is the first report of it as a cause of meningitis in a child under one month of age. Therefore, it should be included in the differential diagnosis of Gram-negative bacillary meningitis in immunocompromised children, neonates, and those with contacts with reptiles.http://dx.doi.org/10.1155/2013/813495
spellingShingle Wubishet Lakew
Abayneh Girma
Elizabeth Triche
Salmonella enterica Serotype Arizonae Meningitis in a Neonate
Case Reports in Pediatrics
title Salmonella enterica Serotype Arizonae Meningitis in a Neonate
title_full Salmonella enterica Serotype Arizonae Meningitis in a Neonate
title_fullStr Salmonella enterica Serotype Arizonae Meningitis in a Neonate
title_full_unstemmed Salmonella enterica Serotype Arizonae Meningitis in a Neonate
title_short Salmonella enterica Serotype Arizonae Meningitis in a Neonate
title_sort salmonella enterica serotype arizonae meningitis in a neonate
url http://dx.doi.org/10.1155/2013/813495
work_keys_str_mv AT wubishetlakew salmonellaentericaserotypearizonaemeningitisinaneonate
AT abaynehgirma salmonellaentericaserotypearizonaemeningitisinaneonate
AT elizabethtriche salmonellaentericaserotypearizonaemeningitisinaneonate