Salmonella berta meningitis in a term neonate

We report the case of a 37-week male infant born via spontaneous vaginal delivery who developed Salmonella berta sepsis and meningitis. The infant was born to a mother with active diarrhea and stool cultures growing S. berta . On day 3, the infant developed poor feeding, lethargy, apnea and bradycar...

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Bibliographic Details
Published in:	Journal of perinatology Vol. 34; no. 10; pp. 798 - 799
Main Authors:	Bowe, A C, Fischer, M, Waggoner-Fountain, L A, Heinan, K C, Goodkin, H P, Zanelli, S A
Format:	Journal Article
Language:	English
Published:	New York Nature Publishing Group US 01-10-2014 Nature Publishing Group
Subjects:	692/699/255/1318 692/699/375/1638 692/700/1720/3186 Apnea Bacteremia - diagnosis Bacteremia - therapy Bacterial meningitis Bradycardia Care and treatment Case studies Cerebrospinal fluid Children Combined Modality Therapy Diagnosis Diarrhea Disease Progression Diseases EEG Electroencephalography - methods Epilepsy Fatal Outcome Hemorrhage Humans Infant, Newborn Infants Intensive Care Units, Neonatal Lethargy Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Medicine Medicine & Public Health Meningitis Meningitis, Bacterial - diagnosis Meningitis, Bacterial - microbiology Meningitis, Bacterial - therapy Neonates Neuroimaging Newborn babies Pediatric Surgery Pediatrics perinatal-neonatal-case-presentation Salmonella Salmonella - classification Salmonella berta Salmonella Infections - diagnosis Salmonella Infections - therapy Salmonellosis Sepsis Severity of Illness Index Term Birth
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Summary:	We report the case of a 37-week male infant born via spontaneous vaginal delivery who developed Salmonella berta sepsis and meningitis. The infant was born to a mother with active diarrhea and stool cultures growing S. berta . On day 3, the infant developed poor feeding, lethargy, apnea and bradycardia prompting a sepsis evaluation. Blood, stool and cerebrospinal fluid cultures were positive for S. berta . An electroencephalogram performed for posturing revealed neonatal status epilepticus. Extensive bilateral periventricular venous hemorrhagic infarctions with multiple herniations were seen on brain magnetic resonance imaging. The infant's condition continued to deteriorate despite maximal support and care was redirected towards comfort measures.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	0743-8346 1476-5543
DOI:	10.1038/jp.2014.98