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conferenceseries
.com
Volume 05
Neonatal and Pediatric Medicine
ISSN: 2572-4983
World Pediatrics 2019
December 04-05, 2019
December 04-05, 2019 | Barcelona, Spain
32
nd
World Pediatrics Conference
Salmonella typhimurium meningitis
in an exclusively breast fed infant-who is the source
Sanjay H R, K Shreedhara Avabratha
and
Rashmi Alva
Father Muller Medical College, India
Introduction
:
Salmonella typhimurium
is a pathogenic Gram-negative bacteria predominately found in the intestinal
lumen. Route of spread is fecal-oral.
Salmonella meningitis
is a rare complication that typically occurs in neonates
and children less than 1 year.
Case
: Five and a half month old exclusively breastfed male child presented with fever, poor feeding and irritability.
General examination revealed irritable cry, GCS of 10/15, hypertonia of all four limbs and exaggerated reflexes.
Lumbar puncture showed features of pyogenic meningitis. CSF and blood culture grew
Salmonella typhimurium
.
Mother's stool culture also grew
Salmonella typhimurim
. MRI Brain showed acute infarcts in bilateral cerebral
hemispheres. Child was treated with IV Ceftriaxone for four weeks and IV Ciprofloxacin for two weeks. Child
recovered completely at the time of discharge.
Conclusion
:
Salmonella typhimuium meningitis
requires prolonged IV antibiotic treatment. Hand hygiene plays an
important role in preventing spread of the disease.
Biography
Sanjay H R is a Resident in the Department of Pediatrics in Father Muller Medical College, Mangalore, India. He graduated from the prestigious JJM Medical
College, Davangere, India before finding Pediatrics as his calling. He has also served as a Chief Medical Officer in a community health center. His current
research pursuit is his thesis on Neonatal hypoglycemia and Persistent pulmonary hypertension in newborns.
Sanjay H R et al., Neonat Pediatr Med 2019, Volume: 05