Medical College of Wisconsin
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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



Pubmed ID



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


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
Salmonella Infections
jenkins-FCD Prod-478 d1509cf07a111124a2d122fd3df854cc0b993c00