AI Summary & Key Takeaways
AI InsightCefotaxime was administered to the patient according to the results of the culture antibiogram, and the treatment was completed in 4 weeks.
📌 3 Key Takeaways
Abstract
A 30-day-old male patient was presented to our clinic with a two-day history of fever and diarrhea. The patient was lethargic, and he had pulsatile bulged fontanelle in his physical examination. Cerebrospinal fluid examination was compatible with bacterial meningitis, and empirical antibiotic treatment was initiated. Salmonella enteritidis was detected in the cerebrospinal fluid culture. Cefotaxime was administered to the patient according to the results of the culture antibiogram, and the treatment was completed in 4 weeks. During follow-up, hydrocephalus developed, but surgical intervention was not required. The patient was discharged and followed-up as an outpatient. Salmonella meningitis is associated with severe clinical findings such as subdural effusion, hydrocephalus, cerebral infarction, subdural empyema, or brain abscess. Therefore, it has a high clinical importance. This case is presented to emphasize that meningitis due to S. enteritidis is rare, but these patients should be followed closely for possible complications.
Özet
İki gündür devam eden ateş ve ishal şikayeti ile başvuran 30 günlük erkek hastanın fizik muayenesinde letarji, fontanelde pulsasyon ve bombelik saptandı. Yapılan lomber ponksiyon sonucunda elde edilen beyin omurilik sıvısı (BOS) incelemesi bakteriyel menenjit ile uyumlu bulundu ve ampirik tedavi başlandı. BOS kültüründe Salmonella enteritidis üremesi oldu. Hastanın tedavisine kültür antibiyograma uygun olarak intravenöz sefotaksim ile devam edildi ve tedavi dört haftaya tamamlandı. Hastanın izleminde hidrosefali gelişti ancak cerrahi müdahale gerekmedi. Hasta taburcu edilerek ayaktan izleme alındı. Salmonella menenjiti subdural efüzyon, hidrosefali, serebral enfarkt, subdural ampiyem veya beyin apsesi gibi ciddi klinik bulgularla ilişkilidir. Bu nedenle klinik olarak önem taşımaktadır. Bu olgu, S. enteritidis’e bağlı menenjitin nadir görülmesi ve bu hastaların gelişebilecek komplikasyonlar açısından yakın takip edilmesi gerektiğine dikkat çekmek amacıyla sunulmuştur