Metan Gökhan, Alp Emine, Eşel Duygu, Aygen Bilgehan, Sümerkan Bülent
Erciyes Universitesi Tip Fakültesi, infeksiyon Hastaliklan ve Klinik Mikrobiyoloji Anabilim Dali, Kayseri.
Mikrobiyol Bul. 2005 Oct;39(4):509-12.
Salmonella species may cause wide spectrum of infections changing from enterocolitis to sepsis. However, Salmonella meningitis in adults is a rare but important clinical condition with a high mortality rate. In this report, a 71 years old male patient with Salmonella enteritidis meningitis who was followed-up with the diagnosis of immune thrombocytopenic purpura and had been administered azothioprin and prednisolone, has been presented and similar cases in the literature have been reviewed. The cerebrospinal fluid culture yielded S. enteritidis, and the isolate was intermediate susceptible to ampicillin, susceptible to cefotaxime, trimethoprim-sulphametoxasole, ciprofloxacin and chloramphenicol. Our patient was successfully treated with ceftriaxone (2 x 2 gr i.v.) and discharged with total cure.
沙门氏菌可引起从肠炎到败血症等一系列广泛的感染。然而,成人沙门氏菌脑膜炎是一种罕见但重要的临床病症,死亡率很高。在本报告中,介绍了一名71岁患有肠炎沙门氏菌脑膜炎的男性患者,该患者因免疫性血小板减少性紫癜被诊断并接受了硫唑嘌呤和泼尼松龙治疗,同时还回顾了文献中的类似病例。脑脊液培养结果显示为肠炎沙门氏菌,该分离株对氨苄西林中度敏感,对头孢噻肟、甲氧苄啶-磺胺甲恶唑、环丙沙星和氯霉素敏感。我们的患者通过头孢曲松(2×2克静脉注射)成功治愈并出院。