A case report of Salmonella meningitis in an adult patient

A rare case of Salmonella meningitis in an adult patient is reported. A 65-year-old Japanese woman with chronic hepatitis and liver cirrhosis suddenly suffered from severe headache, nausea and vomiting after a trip to Southeast Asia. She had been taking predonine and azathioprine for the treatment o...

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Bibliographic Details
Published inJournal of the Japanese Society of Intensive Care Medicine Vol. 5; no. 2; pp. 135 - 140
Main Authors Sekiguchi, Masato, Yamada, Naoji, Iwasa, Hideaki, Futagami, Nobuo, Sunagawa, Hiroshi, Murayama, Takanori, Seo, Norimasa
Format Journal Article
LanguageEnglish
Published The Japanese Society of Intensive Care Medicine 1998
Subjects
chronic hepatitis
compromised host
Salmonella meningitis
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ISSN1340-7988
1882-966X
1882-966X
DOI10.3918/jsicm.5.135

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Summary:A rare case of Salmonella meningitis in an adult patient is reported. A 65-year-old Japanese woman with chronic hepatitis and liver cirrhosis suddenly suffered from severe headache, nausea and vomiting after a trip to Southeast Asia. She had been taking predonine and azathioprine for the treatment of chronic hepatitis. Symptoms and signs resembled a cerebral aneurysm or meningitis. Examination of the cerebrospinal fluid (CSF) and a bacterial culture comfirmed meningitis by Salmonella enteritidis. The patient responded to antibiotic therapy and recovered well except for left ptosis, anisocoria and a sensory disturbance from the right upper arm to the palm. This case suggests Salmonella infection may result in septicemia and meningitis in adult patients with compromised health.
ISSN:1340-7988
1882-966X
1882-966X
DOI:10.3918/jsicm.5.135