Volumen 64, Número 3 Revista de la Facultad de Medicina

Publicado

2016-07-01

Salmonella enteritidis meningitis in an infant: Case report and literature review

Meningitis por Salmonella enteritidis en un lactante menor: reporte de un caso y revisión de la literatura

Palabras clave:

Meningitis, Salmonella, Therapeutic, Antibiotics (en)
Meningitis, Salmonella, Terapéutica Antibacterianos (es)

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Autores/as

  • Anuar Alonso Cedeño-Burbano Universidad del Cauca - Faculty of Health Sciences - Department of Anesthesiology - Popayán - Colombia.
  • Gerardo Alfonso Galeano-Triviño Universidad del Cauca - Faculty of Health Sciences - Popayán - Colombia.
  • William Andrés Manquillo-Arias Universidad del Cauca - Faculty of Health Sciences - Popayán - Colombia.
  • David Andrés Muñoz-García Universidad del Cauca - Faculty of Health Sciences - Popayán - Colombia.

Salmonella meningitis is an entity with relatively low incidence. In developed countries, it represents 1% of meningitis cases while in developing countries it may occur in up to 13%. Its treatment is difficult and there is no consensus about it.

This article presents the case of an infant with a clinical picture consisting of coughing, runny nose, fever, tachycardia, tachypnea, hyporexia and hypoactivity, with cerebrospinal fluid (CSF) test compatible with bacterial meningitis and common germs culture positive for Salmonella spp, which was finally typified as Salmonella Enteritidis. The patient was mainly treated with meropenem showing favorable results.

This case evidences the difficulty of antibiotic treatment for Salmonella spp meningitis, especially if it is taken into account that its management is based on case reports and expert recommendations due to the lack of randomized clinical trials.

La meningitis por Salmonella es una entidad de incidencia relativamente baja; en los países desarrollados apenas alcanza el 1% del total de los casos, mientras que en los países en vías de desarrollo puede llegar hasta 13%. Su tratamiento es difícil y no existe consenso al respecto.

El presente artículo presenta el caso de una lactante menor con cuadro clínico consistente en tos, rinorrea, fiebre, taquicardia, taquipnea, hiporexia e hipoactividad; con estudio de líquido cefalorraquídeo (LCR) compatible con meningitis bacteriana y cultivo para gérmenes comunes compatible con Salmonella spp, la cual se tipificó finalmente como Salmonella enteritidis. La paciente fue tratada principalmente con meropenem con resultados favorables.

El caso pone en consideración lo difícil que resulta el tratamiento antibiótico de la meningitis por Salmonella spp, en especial si se tiene en cuenta que, en ausencia de ensayos clínicos aleatorizados, las pautas para su manejo se basan en reportes de caso y recomendaciones de expertos.

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Citas

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