Salmonella typhimurium brain abscess in a six-month-old infant: A case report and review of the literature

C. S. Lu, C. H. Chiu, T. Y. Lin, S. L. Lin

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We report the case of a six-month-old male infant with brain abscess caused by Salmonella typhimurium. Upon admission, he was suffering from fever, diarrhea, drowsiness and convulsion. Salmonella meningitis was identified by CSF examination. Following failure of antibiotic therapy to control his fever, brain computerized tomography (CT) was ordered 5 days later and revealed a brain abscess. He received surgical excision of the abscess and recovered completely after receiving ceftriaxone therapy for 8 weeks. The case of our patient, together with 11 cases of Salmonella brain abscess from the English literature are reviewed. There was a male preponderance among these patients (male: female = 2.67: 1) and the majority were less than one year old. Salmonella typhimurium, typhi, and enteritidis occurred most frequently. Fever, seizure, signs and symptoms of increased intracranial pressure and change in mental status were the most common clinical features. Purulent meningitis was a major predisposing factor. Successful treatment was associated with early identification, prompt surgical intervention, high dose, long-term antibiotic therapy, and close follow-up for possible recurrence and to determine the presence of neurological sequelae.

Original languageEnglish
Pages (from-to)219-225
Number of pages7
JournalChang Gung Medical Journal
Volume20
Issue number3
Publication statusPublished - 1997
Externally publishedYes

Fingerprint

Brain Abscess
Salmonella typhimurium
Meningitis
Salmonella
Fever
Anti-Bacterial Agents
Literature
Febrile Seizures
Salmonella enteritidis
Salmonella typhi
Ceftriaxone
Sleep Stages
Intracranial Pressure
Therapeutics
Causality
Abscess
Signs and Symptoms
Diarrhea
Seizures
Tomography

Keywords

  • Brain abscess
  • Salmonella typhimurium

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Salmonella typhimurium brain abscess in a six-month-old infant : A case report and review of the literature. / Lu, C. S.; Chiu, C. H.; Lin, T. Y.; Lin, S. L.

In: Chang Gung Medical Journal, Vol. 20, No. 3, 1997, p. 219-225.

Research output: Contribution to journalArticle

@article{0abd584781474aa7b7d64c64b71e9662,
title = "Salmonella typhimurium brain abscess in a six-month-old infant: A case report and review of the literature",
abstract = "We report the case of a six-month-old male infant with brain abscess caused by Salmonella typhimurium. Upon admission, he was suffering from fever, diarrhea, drowsiness and convulsion. Salmonella meningitis was identified by CSF examination. Following failure of antibiotic therapy to control his fever, brain computerized tomography (CT) was ordered 5 days later and revealed a brain abscess. He received surgical excision of the abscess and recovered completely after receiving ceftriaxone therapy for 8 weeks. The case of our patient, together with 11 cases of Salmonella brain abscess from the English literature are reviewed. There was a male preponderance among these patients (male: female = 2.67: 1) and the majority were less than one year old. Salmonella typhimurium, typhi, and enteritidis occurred most frequently. Fever, seizure, signs and symptoms of increased intracranial pressure and change in mental status were the most common clinical features. Purulent meningitis was a major predisposing factor. Successful treatment was associated with early identification, prompt surgical intervention, high dose, long-term antibiotic therapy, and close follow-up for possible recurrence and to determine the presence of neurological sequelae.",
keywords = "Brain abscess, Salmonella typhimurium",
author = "Lu, {C. S.} and Chiu, {C. H.} and Lin, {T. Y.} and Lin, {S. L.}",
year = "1997",
language = "English",
volume = "20",
pages = "219--225",
journal = "Chang Gung Medical Journal",
issn = "0255-8270",
publisher = "Chang Gung Medical Journal",
number = "3",

}

TY - JOUR

T1 - Salmonella typhimurium brain abscess in a six-month-old infant

T2 - A case report and review of the literature

AU - Lu, C. S.

AU - Chiu, C. H.

AU - Lin, T. Y.

AU - Lin, S. L.

PY - 1997

Y1 - 1997

N2 - We report the case of a six-month-old male infant with brain abscess caused by Salmonella typhimurium. Upon admission, he was suffering from fever, diarrhea, drowsiness and convulsion. Salmonella meningitis was identified by CSF examination. Following failure of antibiotic therapy to control his fever, brain computerized tomography (CT) was ordered 5 days later and revealed a brain abscess. He received surgical excision of the abscess and recovered completely after receiving ceftriaxone therapy for 8 weeks. The case of our patient, together with 11 cases of Salmonella brain abscess from the English literature are reviewed. There was a male preponderance among these patients (male: female = 2.67: 1) and the majority were less than one year old. Salmonella typhimurium, typhi, and enteritidis occurred most frequently. Fever, seizure, signs and symptoms of increased intracranial pressure and change in mental status were the most common clinical features. Purulent meningitis was a major predisposing factor. Successful treatment was associated with early identification, prompt surgical intervention, high dose, long-term antibiotic therapy, and close follow-up for possible recurrence and to determine the presence of neurological sequelae.

AB - We report the case of a six-month-old male infant with brain abscess caused by Salmonella typhimurium. Upon admission, he was suffering from fever, diarrhea, drowsiness and convulsion. Salmonella meningitis was identified by CSF examination. Following failure of antibiotic therapy to control his fever, brain computerized tomography (CT) was ordered 5 days later and revealed a brain abscess. He received surgical excision of the abscess and recovered completely after receiving ceftriaxone therapy for 8 weeks. The case of our patient, together with 11 cases of Salmonella brain abscess from the English literature are reviewed. There was a male preponderance among these patients (male: female = 2.67: 1) and the majority were less than one year old. Salmonella typhimurium, typhi, and enteritidis occurred most frequently. Fever, seizure, signs and symptoms of increased intracranial pressure and change in mental status were the most common clinical features. Purulent meningitis was a major predisposing factor. Successful treatment was associated with early identification, prompt surgical intervention, high dose, long-term antibiotic therapy, and close follow-up for possible recurrence and to determine the presence of neurological sequelae.

KW - Brain abscess

KW - Salmonella typhimurium

UR - http://www.scopus.com/inward/record.url?scp=0030813572&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030813572&partnerID=8YFLogxK

M3 - Article

C2 - 9397614

AN - SCOPUS:0030813572

VL - 20

SP - 219

EP - 225

JO - Chang Gung Medical Journal

JF - Chang Gung Medical Journal

SN - 0255-8270

IS - 3

ER -