Salmonella enteritidis meningitis in a first time diagnosed AIDS patient: case report


We describe a patient with salmonella enteritidis meningitis and unknown HIV infection .Setting: A 14-bed adult intensive care unit in a tertiary hospital.The patient was brought to the emergency department with fever, nuchal rigidity and confusion. A first cerebrospinal fluid examination was non diagnostic.

After a short period of improvement the patient developed septic shock. A second cerebrospinal fluid specimen was purulent.

Both specimens yielded salmonella enteritidis and a blood culture as well. An Eliza reaction was performed and showed positive for HIV.

The CD4(+) cells count was 16/mm3. The patient died with refractory shock eight days after admission in the intensive care unit.

Author: Chrisostomos Katsenos, Nectarios Anastasopoulos, Maria Patrani and Costas Mandragos
Credits/Source: Cases Journal 2008, 1:5



Published on: 2008-05-12

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