Salmonella enteritidis meningitis in a first time diagnosed AIDS patient: Case report

Chrisostomos Katsenos , Nectarios Anastasopoulos , Maria Patrani and Costas Mandragos

Red Cross Hospital of Athens Korgialeneio-Benakeio, Intensive Care Unit, Athanasaki 1 str, Ampelokipoi 11526 Athens, Greece

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Cases Journal 2008, 1:5doi:10.1186/1757-1626-1-5


Published:	12 May 2008

Abstract

We describe a patient with salmonella enteritidis meningitis and unknown HIV infection.

Setting: A 14-bed adult intensive care unit in a tertiary hospital.

The patient was brought to the emergency department with fever, nuchal rigidity and confusion. A first cerebrospinal fluid examination was non diagnostic. After a short period of improvement the patient developed septic shock. A second cerebrospinal fluid specimen was purulent. Both specimens yielded salmonella enteritidis and a blood culture as well. An Eliza reaction was performed and showed positive for HIV. The CD4(+) cells count was 16/mm³. The patient died with refractory shock eight days after admission in the intensive care unit.