Salmonella enterica serovar Panama meningitis in exclusive breastfeeding infants: Report of 4 cases, clinical features and therapeutic challenges.
Sleutelwoorden
Abstract
BACKGROUND
The pathway of Nontyphoid Salmonella meningitis, especially in exclusive breastfeeding infants, has not been well characterized.
UNASSIGNED
We analyzed data related to nontyphoid Salmonella meningitis in 4 infants.
UNASSIGNED
No diarrhea was observed and the coproculture was negative for all patients.
METHODS
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.
RESULTS
The first 3 patients had a good evolution, whereas the last patient had multiple brain abscesses and hydrocephalus requiring treatment with a ventriculoperitoneal shunt.
CONCLUSIONS
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.
