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Salmonella enterica serovar Virchow meningitis in a young man in Italy: a case report

INTRODUCTION: Salmonella enterica is a leading cause of foodborne infections worldwide and includes more than 2500 different serovars, causing primarily gastroenteritis. However, the infection may occur elsewhere and produce characteristic clinical syndromes. Meningitis is a rare complication that o...

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Autores principales: Lombardi, Daniela, Malaspina, Silvana, Strippoli, Angela, Lucarelli, Claudia, Luzzi, Ida, Ripabelli, Giancarlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031895/
https://www.ncbi.nlm.nih.gov/pubmed/24884674
http://dx.doi.org/10.1186/1752-1947-8-139
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author Lombardi, Daniela
Malaspina, Silvana
Strippoli, Angela
Lucarelli, Claudia
Luzzi, Ida
Ripabelli, Giancarlo
author_facet Lombardi, Daniela
Malaspina, Silvana
Strippoli, Angela
Lucarelli, Claudia
Luzzi, Ida
Ripabelli, Giancarlo
author_sort Lombardi, Daniela
collection PubMed
description INTRODUCTION: Salmonella enterica is a leading cause of foodborne infections worldwide and includes more than 2500 different serovars, causing primarily gastroenteritis. However, the infection may occur elsewhere and produce characteristic clinical syndromes. Meningitis is a rare complication that occurs in less than 1% of clinical salmonellosis. CASE PRESENTATION: We describe a case of Salmonella Virchow meningitis in a 36-year-old Caucasian man presenting with headache in the occipital region, associated fever, nausea and vomiting, dyspnea and ambulatory difficulty. The cerebrospinal fluid culture showed growth of Salmonella, later confirmed to be Salmonella enterica serovar Virchow. CONCLUSIONS: Salmonella Virchow infection is rare and this report highlights the risk of meningitis as a presentation of salmonellosis. To the best of our knowledge this is the first Italian case of meningitis due to Salmonella Virchow in a young adult. The probable route of transmission remains unclear and a long carriage state after a previous episode of gastroenteritis should be considered.
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spelling pubmed-40318952014-05-24 Salmonella enterica serovar Virchow meningitis in a young man in Italy: a case report Lombardi, Daniela Malaspina, Silvana Strippoli, Angela Lucarelli, Claudia Luzzi, Ida Ripabelli, Giancarlo J Med Case Rep Case Report INTRODUCTION: Salmonella enterica is a leading cause of foodborne infections worldwide and includes more than 2500 different serovars, causing primarily gastroenteritis. However, the infection may occur elsewhere and produce characteristic clinical syndromes. Meningitis is a rare complication that occurs in less than 1% of clinical salmonellosis. CASE PRESENTATION: We describe a case of Salmonella Virchow meningitis in a 36-year-old Caucasian man presenting with headache in the occipital region, associated fever, nausea and vomiting, dyspnea and ambulatory difficulty. The cerebrospinal fluid culture showed growth of Salmonella, later confirmed to be Salmonella enterica serovar Virchow. CONCLUSIONS: Salmonella Virchow infection is rare and this report highlights the risk of meningitis as a presentation of salmonellosis. To the best of our knowledge this is the first Italian case of meningitis due to Salmonella Virchow in a young adult. The probable route of transmission remains unclear and a long carriage state after a previous episode of gastroenteritis should be considered. BioMed Central 2014-05-06 /pmc/articles/PMC4031895/ /pubmed/24884674 http://dx.doi.org/10.1186/1752-1947-8-139 Text en Copyright © 2014 Lombardi et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Case Report
Lombardi, Daniela
Malaspina, Silvana
Strippoli, Angela
Lucarelli, Claudia
Luzzi, Ida
Ripabelli, Giancarlo
Salmonella enterica serovar Virchow meningitis in a young man in Italy: a case report
title Salmonella enterica serovar Virchow meningitis in a young man in Italy: a case report
title_full Salmonella enterica serovar Virchow meningitis in a young man in Italy: a case report
title_fullStr Salmonella enterica serovar Virchow meningitis in a young man in Italy: a case report
title_full_unstemmed Salmonella enterica serovar Virchow meningitis in a young man in Italy: a case report
title_short Salmonella enterica serovar Virchow meningitis in a young man in Italy: a case report
title_sort salmonella enterica serovar virchow meningitis in a young man in italy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031895/
https://www.ncbi.nlm.nih.gov/pubmed/24884674
http://dx.doi.org/10.1186/1752-1947-8-139
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