What is it about?
Salmonella meningitis is very rare. Clinicians and parents should be alert to the possibility of relapse weeks after an apparent satisfactory clinical response to antibiotics. This article reports an infant with recurrent Salmonella meningitis that was treated and discharged from hospital successfully.
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Why is it important?
Both ceftriaxone and meropenem are effective in the treatment of Salmonella meningitis. Nevertheless, we recommend ceftriaxone because it is cheaper than meropenem. We suggest treatment for at least 4 weeks and discontinuation of intravenous antibiotics if the symptoms and signs have disappeared, the child has normal temperature for over 1 week, CSF cell count less than 20x10^6/litre, normal CSF protein and glucose levels, CSF culture negative, and no neurological complications.
Perspectives
This was the first time that Salmonella meningitis had been detected in our region and the first rare disease I treated. Sharing treatment experiences makes me happy.
Jianfeng Wu
Read the Original
This page is a summary of: Recurrent meningitis caused by Salmonella stanley in an infant, British Journal of Hospital Medicine, December 2022, Mark Allen Group,
DOI: 10.12968/hmed.2022.0227.
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