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J Clin Pathol 61:138-139 doi:10.1136/jcp.2006.043216
  • Case report

Salmonella typhimurium meningitis in an adult patient with AIDS

  1. K Swe Swe1,
  2. G Nagel2,
  3. M Van der Westhuizen2,
  4. A A Hoosen1
  1. 1
    Department of Microbiological Pathology, Medunsa Campus, University of Limpopo, and the National Health Laboratory Services, Pretoria, South Africa
  2. 2
    Department of Internal Medicine, Kalafong Hospital, Pretoria, South Africa
  1. Dr Khine Swe Swe, Department of Microbiological Pathology, Medunsa Campus, University of Limpopo, PO Box 211, Medunsa, 0204, Pretoria, South Africa; Ksweswe2003{at}yahoo.com
  • Accepted 10 November 2006
  • Published Online First 8 December 2006

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.

Footnotes

  • Competing interests: None declared.

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