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Salmonella meningitis complicated with subdural empyema, brain abscess and purpura fulminans: report of one case. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1989 Nov-Dec;30(6):408-13

Date

11/01/1989

Pubmed ID

2576904

Abstract

There exists high incidence of bacteremia, sepsis and meningitis in young infants with Salmonella infection. However, focal intracranial abscesses due to Salmonella infections are rare. We reported a 2-month-old male baby presenting salmonella infection with brain abscess and purpura fulminans. The patient's clinical course was fulminant. He was admitted due to fever, irritability, anemia and leukopenia. He developed cardiac arrest, shock and skin diathesis on his second hospitalization day. After resuscitation he became comatous and showed acrocyanosis and gangrenous skin over the hands, feet and left ear lobe. Both blood and cerebrospinal fluid cultures were Salmonella Group B. The patient got worse rapidly in spite of vigorous treatment. Subdural empyema, ventriculitis and later brain abscess were detected by serial brain sonograms. He died of central nervous system failure, gastrointestinal bleeding and renal failure on the eighteenth hospitalization day.

Author List

Hou JW, Teng RJ, Lee CY

Author

Ru-Jeng Teng MD Associate Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Brain Abscess
Cerebral Ventricles
Empyema, Subdural
Encephalitis
Humans
Infant
Male
Meningitis
Purpura
Salmonella Infections
jenkins-FCD Prod-406 0f9a74600e4e79798f8fa6f545ea115f3dd948b2