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Abstract

Introduction: Salmonella typhimurium is a pathogenic Gram-negative bacteria predominately found in the intestinal lumen. Route of spread is fecal-oral. Salmonella meningitis is a rare complication that typically occurs in neonates and children less than 1 year.

Case: Five and a half month old exclusively breastfed male child presented with fever, poor feeding and irritability. General examination revealed irritable cry, GCS of 10/15, hypertonia of all four limbs and exaggerated reflexes.

Lumbar puncture showed features of pyogenic meningitis. CSF and blood culture grew Salmonella typhimurium. Mother’s stool culture also grew Salmonella typhimurim. MRI Brain showed acute infarcts in bilateral cerebral hemispheres. Child was treated with IV Ceftriaxone for four weeks and IV Ciprofloxacin for two weeks. Child recovered completely at the time of discharge.

Conclusion: Salmonella typhimuium meningitis requires prolonged IV antibiotic treatment. Hand hygiene plays an important role in preventing spread of the disease.

Biography

Sanjay H R is a Resident in the Department of Pediatrics in Father Muller Medical College, Mangalore, India. He graduated from the prestigious JJM Medical College, Davangere, India before finding Pediatrics as his calling. He has also served as a Chief Medical Officer in a community health center. His current research pursuit is his thesis on Neonatal hypoglycemia and Persistent pulmonary hypertension in newborns.