New Diagnosis of AIDS Based on Salmonella enterica subsp. I (enterica) Enteritidis (A) Meningitis in a Previously Immunocompetent Adult in the United States
Joint Authors
Elton, Andrew C.
Levin, James
Lazio, Matthew P.
Source
Case Reports in Infectious Diseases
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-14
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Salmonella meningitis is a rare manifestation of meningitis typically presenting in neonates and the elderly.
This infection typically associates with foodborne outbreaks in developing nations and AIDS-endemic regions.
We report a case of a 19-year-old male presenting with altered mental status after 3-day absence from work at a Wisconsin tourist area.
He was febrile, tachycardic, and tachypneic with a GCS of 8.
The patient was intubated and a presumptive diagnosis of meningitis was made.
Treatment was initiated with ceftriaxone, vancomycin, acyclovir, dexamethasone, and fluid resuscitation.
A lumbar puncture showed cloudy CSF with Gram negative rods.
He was admitted to the ICU.
CSF culture confirmed Salmonella enterica subsp.
I (enterica) Enteritidis (A).
Based on this finding, a 4th-generation HIV antibody/p24 antigen test was sent.
When this returned positive, a CD4 count was obtained and showed 3 cells/mm3, confirming AIDS.
The patient ultimately received 38 days of ceftriaxone, was placed on elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide (Genvoya) for HIV/AIDS, and was discharged neurologically intact after a 44-day admission.
American Psychological Association (APA)
Elton, Andrew C.& Levin, James& Lazio, Matthew P.. 2017. New Diagnosis of AIDS Based on Salmonella enterica subsp. I (enterica) Enteritidis (A) Meningitis in a Previously Immunocompetent Adult in the United States. Case Reports in Infectious Diseases،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146198
Modern Language Association (MLA)
Elton, Andrew C.…[et al.]. New Diagnosis of AIDS Based on Salmonella enterica subsp. I (enterica) Enteritidis (A) Meningitis in a Previously Immunocompetent Adult in the United States. Case Reports in Infectious Diseases No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1146198
American Medical Association (AMA)
Elton, Andrew C.& Levin, James& Lazio, Matthew P.. New Diagnosis of AIDS Based on Salmonella enterica subsp. I (enterica) Enteritidis (A) Meningitis in a Previously Immunocompetent Adult in the United States. Case Reports in Infectious Diseases. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146198
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146198