Meningitis in a Neonate Caused by Salmonella enterica Subspecies Enterica: A Case Report
Published: October 1, 2023 | DOI: https://doi.org/10.7860/JCDR/2023/65173.18605
Aarthi Sundaresan, Srujana Prabhala, Ami Yeshwant Varaiya, Avinash Walawalkar
1. Clinical Associate, Department of Microbiology, Nanavati Max Super Speciality Hospital, Mumbai, Maharashtra, India.
2. Clinical Associate, Department of Microbiology, Nanavati Max Super Speciality Hospital, Mumbai, Maharashtra, India.
3. Consultant and Head, Department of Microbiology, Nanavati Max Super Speciality Hospital, Mumbai, Maharashtra, India.
4. Consultant Neonatology and Child Care, Department of Paediatrics, Nanavati Max Super Speciality Hospital, Mumbai, Maharashtra, India.
Correspondence
Aarthi Sundaresan,
Clinical Associate, Department of Microbiology, Nanavati Max Super Speciality Hospital, S.V. Road, Vile Parle West, Mumbai-400056, Maharashtra, India.
E-mail: aarthi.sundaresan@nanavatihospital.org
A 14-day-old female baby was admitted to the neonatal Intensive Care Unit (ICU) with complaints of fever for one week, along with reduced intake of feeds and weight loss. Routine investigations, blood culture, Cerebrospinal Fluid (CSF) routine analysis, and CSF culture were performed. Both cultures grew non typhoidal Salmonella enterica subspecies enterica. Magnetic Resonance Imaging (MRI) brain with contrast revealed leptomeningeal enhancement and basal exudates, both suggestive of meningitis, as well as ventriculitis and arachnoiditis. The baby was treated with intravenous Ceftriaxone and Meropenem. Follow-up CSF analysis showed improvement, and the cultures were sterile.
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