The Risk of Immunosuppression: A Case of Salmonella Meningitis

Salmonella meningitis is a rare infection, particularly in adults. We report the case of a 75-year-old female with a history of rheumatoid arthritis on TNF-antagonist immunosuppressive therapy who initially presented to the hospital for management of back and leg pain and was ultimately diagnosed wi...

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Main Authors: Joshua Dower, David P. Lerner, Tamar Geva, Kenneth Wener
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2018/4874575
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author Joshua Dower
David P. Lerner
Tamar Geva
Kenneth Wener
author_facet Joshua Dower
David P. Lerner
Tamar Geva
Kenneth Wener
author_sort Joshua Dower
collection DOAJ
description Salmonella meningitis is a rare infection, particularly in adults. We report the case of a 75-year-old female with a history of rheumatoid arthritis on TNF-antagonist immunosuppressive therapy who initially presented to the hospital for management of back and leg pain and was ultimately diagnosed with bacterial meningitis secondary to Salmonella species infection. She was treated with ceftriaxone with slow improvement in neurological function. Though the source of infection was never clearly identified from multiple imaging studies, we suspect the severity of her presentation was due to her history of TNF-antagonist use.
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institution Kabale University
issn 2090-6625
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language English
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series Case Reports in Infectious Diseases
spelling doaj-art-99c41c52f48d4a218e5d762ad4a21c6f2025-02-03T05:47:14ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/48745754874575The Risk of Immunosuppression: A Case of Salmonella MeningitisJoshua Dower0David P. Lerner1Tamar Geva2Kenneth Wener3Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USALahey Hospital and Medical Center, 41 Burlington Mall Road, Burlington, MA 01805, USALahey Hospital and Medical Center, 41 Burlington Mall Road, Burlington, MA 01805, USALahey Hospital and Medical Center, 41 Burlington Mall Road, Burlington, MA 01805, USASalmonella meningitis is a rare infection, particularly in adults. We report the case of a 75-year-old female with a history of rheumatoid arthritis on TNF-antagonist immunosuppressive therapy who initially presented to the hospital for management of back and leg pain and was ultimately diagnosed with bacterial meningitis secondary to Salmonella species infection. She was treated with ceftriaxone with slow improvement in neurological function. Though the source of infection was never clearly identified from multiple imaging studies, we suspect the severity of her presentation was due to her history of TNF-antagonist use.http://dx.doi.org/10.1155/2018/4874575
spellingShingle Joshua Dower
David P. Lerner
Tamar Geva
Kenneth Wener
The Risk of Immunosuppression: A Case of Salmonella Meningitis
Case Reports in Infectious Diseases
title The Risk of Immunosuppression: A Case of Salmonella Meningitis
title_full The Risk of Immunosuppression: A Case of Salmonella Meningitis
title_fullStr The Risk of Immunosuppression: A Case of Salmonella Meningitis
title_full_unstemmed The Risk of Immunosuppression: A Case of Salmonella Meningitis
title_short The Risk of Immunosuppression: A Case of Salmonella Meningitis
title_sort risk of immunosuppression a case of salmonella meningitis
url http://dx.doi.org/10.1155/2018/4874575
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