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

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• 作者：Daniela Lombardi (18)
  Silvana Malaspina (19)
  Angela Strippoli (19)
  Claudia Lucarelli (20) (23)
  Ida Luzzi (20) (22)
  Giancarlo Ripabelli (21)
  
  18. Regional Reference Service of Epidemiology for the Surveillance ; Prevention and Control of Infectious Diseases SeREMI ASL AL ; Alessandria ; Italy
  19. Infectious Diseases of Hygiene Service and Public Health of ASL TO1 ; Turin ; Italy
  20. Department of Infectious ; Parasitic and Immuno-Mediated Diseases ; Istituto Superiore di Sanit脿 ; Rome ; Italy
  23. European Public Health Microbiology Training Programme (EUPHEM) ; European Centre for Disease Prevention and Control (ECDC) ; Tomtebodav盲gen 11a ; 171 83 ; Stockholm ; Sweden
  22. Coordinator of EnterNet Italia Surveillance Network for foodborne and waterborne diseases ; Istituto Superiore di Sanit脿 ; Viale Regina Elena ; 299 ; 00161 ; Roma ; Italy
  21. Department of Medicine and of Health Sciences ; University of Molise ; Campobasso ; Italy
  
• 关键词：Carrier state ; Gastroenteritis ; Meningitis ; Salmonella Virchow
• 刊名：Journal of Medical Case Reports
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：8
• 期：1
• 全文大小：216 KB
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  3. ENTER-NET Italia Weblink: 鈥?a href="http://www.iss.it/ente/" class="a-plus-plus">http://www.iss.it/ente/鈥?Accessed on April 2^th, 2014.
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• 刊物主题：Medicine/Public Health, general; General Practice / Family Medicine; Public Health; Primary Care Medicine;
• 出版者：BioMed Central
• ISSN：1752-1947

文摘

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.