Non-typhoid Salmonella meningitis complicated by a infarction of basal ganglia
Journal of Korean Medical Science
; : 342-344, 1999.
Article
em En
| WPRIM
| ID: wpr-59998
Biblioteca responsável:
WPRO
ABSTRACT
A previously healthy 16-month-old Korean girl with symptoms of fever, vomiting, and generalized tonic seizure was diagnosed to have Group D non-typhoid Salmonella meningitis. The patient was treated with ceftriaxone (100 mg/kg/day) and amikin (22.5 mg/kg/day) initially and ciprofloxacin (30 mg/kg/day) was added later because of clinical deterioration and disseminated intravascular coagulation. Brain CT performed on the second day showed a well-demarcated low density lesion in the right lentiform nucleus and both caudate nuclei, without evidence of increased intracranial pressure. MRI performed on the 11th day confirmed CT scan findings as well as right subdural fluid collection, brain atrophy, and ventriculomegaly. She underwent subdural drainage and later ventriculo-peritoneal shunt operation. Despite receiving intensive treatment, she still has severe neurologic sequelae. Our case shows that infarctions of basal ganglia and thalami are not specific for tuberculous meningitis and that meningitis complicated by infarction is indicative of grave prognosis.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Infecções por Salmonella
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Doenças dos Gânglios da Base
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Encéfalo
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Imageamento por Ressonância Magnética
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Tomografia Computadorizada por Raios X
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Infarto Cerebral
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Seguimentos
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Meningites Bacterianas
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Female
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Humans
/
Infant
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
1999
Tipo de documento:
Article