Alerting pregnant women to the risk of reptile-associated salmonellosis.

BACKGROUND: Reptile- and amphibian-associated salmonellosis poses significant risk to infants and young children. The Centers for Disease Control and Prevention has advised that reptiles and amphibians should not be kept in households with children younger than 5 years old. CASE: We report a 5-day-old newborn with Salmonella bacteremia and meningitis who survived but with severe developmental delay. CONCLUSION: Cases of infants with reptile- and amphibian-associated salmonellosis, a preventable and devastating disease, continue to be reported. We propose that obstetricians should be the front line in counseling expecting families that reptiles should not be kept in households with infants and young children. By the time a family first visits the pediatrician, the warning may be too late.

Nontypeable Haemophilus influenzae meningitis complicated by hearing loss in a 9-year-old HIV-infected boy.

A 9-year old boy with perinatal HIV infection developed meningitis due to nontypeable Haemophilus influenzae. His course was complicated by progressive hearing loss due to labyrinthitis ossificans. Placement of cochlear implant improved hearing thresholds. Nontypeable H. influenzae meningitis and use of cochlear implants have not previously been in HIV-infected children.