Abstract

I. Amassas*, S. Benchekroun, F. Benbrahim, C. Mahraoui and N. Hafidi

ABSTRACT

Introduction: Salmonella infections are a public health problem, generally the bacterial agents "salmonella" are responsible for digestive infections, meningeal localization remains very rare. This localization is associated with a high mortality rate of more than 50%, relapses and abscesses of the brain are not uncommon. Reporting to us a case of salmonella meningitis, focusing on his diagnostic and therapeutic management. Materials and Methods: This is a 03-month-old infant, with no pathological history, admitted for management of a suspected recurrent meningitis, clinical examination objected a high fever, hypotonic infant with a bulging anterior fontanel. Thecerebrospinal fluid analysis was compatible with bacterial meningitis with direct examination of BGN, the culture identified salmonella, and the patient was initially put on ceftraixone at a meningeal dose. The evolution was marked by the persistence of fever with the onset of a convulsive state complicated by left ptosis, ciprofloxacin was added at a rate of 20 mg / kg / day for 06 weeks with a very good result. Discussion: Salmonella meningitis is rare, this localization particularly concerns newborns and infants whose contamination is often inter-familial. Early and adequate therapeutic management determines the patient's vital and functional prognosis. Conclusion: Salmonella meningitis is an infrequent but serious pathology, regardless of their location, especially gastroenteritis, must be treated early and properly to avoid complications such as meningitis.