Salmonella typhimurium meningitis in an adult patient with AIDS

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Authors

Swe Swe-Han, K .
Nagel, G.
Van der Westhuizen, M.
Hoosen, Anwar Ahmed

Journal Title

Journal ISSN

Volume Title

Publisher

BMJ

Abstract

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, H2S positive and motile. Cefotaxime was continued for 14 days and the patient responded without neurological sequelae.

Description

Keywords

Salmonella typhimurium meningitis, Salmonella typhimurium, Meningitis, Adult, Patients, AIDS, Complications, Salmonella sepsis, Cefotaxime, Case report, Clinical presentation, Fever, Dehydration, Stiff neck, Oral thrush, Limb weakness, Intravenous therapy

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Citation

Swe Swe, K, Nagel, G, Van der Westhuizen, M & Hoosen, AA 2008, 'Salmonella typhimurium meningitis in an adult patient with AIDS', Journal of Clinical Pathology, vol. 61, no. 1, pp. 138-139. [http://jcp.bmj.com]