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Encephalopathy in Salmonella Infections

Encephalopathy in Salmonella Infections Abstract Different neurological complications of typhoid are known to occur. A bacterial invasion of the meninges, a true bacterial meningitis, is rare and occurs mainly below 2 years of age.14 Peripheral neuritis, radiculitis, and radiculomyelitis, occasionally from the ascending type,7,8 and finally cases of brain involvement have been described.1,4,11,12 Some authors speak of encephalitis, others of encephalopathy; the latter is probably more correct. However, all these complications are rare. It is the purpose of this paper to present five cases of encephalopathy in Salmonella infections observed at the American University Hospital in Beirut. During this period of time about 150 cases of uncomplicated salmonellosis were admitted to this institution. However, these two figures do not permit a conclusion as to incidence of Salmonella encephalopathy, since many milder and even some of the severe cases are not hospitalized. Case 1.—Fatal Encephalopathy Due to Paratyphoid B with Coma, Electrolyte References 1. Albòs, J.: Encéphalopathies typhiques infantiles , Arch. franç. pediat. 14:526-531, 1957. 2. Alpers, B. J.: So-Called "Brain Purpura" or "Hemorrhagic Encephalitis," Arch. Neurol. & Psychiat. 20:497-523, 1928. 3. Bastron, J. A., et al.: Clinical Examination in Neurology , Philadelphia, W. B. Saunders Company, 1956. 4. Benhamou, E., and Albou, E.: A propos de deux cas d'encéphalite typhoïdique contrôlés par les examens électroencéphalographiques , Bull. et mém. Soc. méd. hôp. Paris 66:1306-1311, 1950. 5. Dufourt, A., and Froment, R.: Complications et séquelles nerveuses de la fièvre typhoïde dans l'epidémie lyonnaise de 1928 , Presse méd . 42:1225-1227, 1934. 6. Ford, F. R.: Diseases of the Nervous System in Infancy , Childhood and Adolescence , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1950. 7. Harries, E. H. R., and Mitman, M.: Clinical Practice in Infectious Diseases , Ed. 3, Edinburgh, E. & S. Livingstone, Ltd., 1947. 8. Jennings, G. H.: Protracted Nervous Complications of Typhoid Fever , Lancet 2:1218-1219, 1949. 9. Marmion, D. E.: The Treatment of Typhoid Fever with Chloramphenicol: A Clinical Study of 330 Cases of Enteric Fever Treated in Egypt , Tr. Roy. Soc. Trop. Med. & Hyg. 46:619-638, 1952. 10. McCrory, W. W., and Macaulay, D.: Idiopathic Hyponatremia in an Infant with Diffuse Cerebral Damage , Pediatrics 20:23-32, 1957. 11. Roger, H., and Gastaut, H.: The Vegetative Encephalitis in Typhoid Fever , Lancet 1:709-710, 1945. 12. Schachter, M.: Les encéphalopathies posttyphoïdiques chez l'enfant , Ann. paediat. 183:43-58, 1954. 13. Watson, K. C.: Chloramphenicol in Typhoid Fever: A Review of 110 Cases , Tr. Roy. Soc. Trop. Med. & Hyg. 48:526, 1954. 14. Watson, K. C.: Salmonella Meningitis , Arch. Dis. Childhood 33:171-175, 1958. 15. Zellweger, H., and Idriss, H.: La dysrégulation electrolytémique dans l'encephalopathie salmonellose, Rev. méd. Moyen Orient, to be published. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Encephalopathy in Salmonella Infections

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1960.02070030772012
Publisher site
See Article on Publisher Site

Abstract

Abstract Different neurological complications of typhoid are known to occur. A bacterial invasion of the meninges, a true bacterial meningitis, is rare and occurs mainly below 2 years of age.14 Peripheral neuritis, radiculitis, and radiculomyelitis, occasionally from the ascending type,7,8 and finally cases of brain involvement have been described.1,4,11,12 Some authors speak of encephalitis, others of encephalopathy; the latter is probably more correct. However, all these complications are rare. It is the purpose of this paper to present five cases of encephalopathy in Salmonella infections observed at the American University Hospital in Beirut. During this period of time about 150 cases of uncomplicated salmonellosis were admitted to this institution. However, these two figures do not permit a conclusion as to incidence of Salmonella encephalopathy, since many milder and even some of the severe cases are not hospitalized. Case 1.—Fatal Encephalopathy Due to Paratyphoid B with Coma, Electrolyte References 1. Albòs, J.: Encéphalopathies typhiques infantiles , Arch. franç. pediat. 14:526-531, 1957. 2. Alpers, B. J.: So-Called "Brain Purpura" or "Hemorrhagic Encephalitis," Arch. Neurol. & Psychiat. 20:497-523, 1928. 3. Bastron, J. A., et al.: Clinical Examination in Neurology , Philadelphia, W. B. Saunders Company, 1956. 4. Benhamou, E., and Albou, E.: A propos de deux cas d'encéphalite typhoïdique contrôlés par les examens électroencéphalographiques , Bull. et mém. Soc. méd. hôp. Paris 66:1306-1311, 1950. 5. Dufourt, A., and Froment, R.: Complications et séquelles nerveuses de la fièvre typhoïde dans l'epidémie lyonnaise de 1928 , Presse méd . 42:1225-1227, 1934. 6. Ford, F. R.: Diseases of the Nervous System in Infancy , Childhood and Adolescence , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1950. 7. Harries, E. H. R., and Mitman, M.: Clinical Practice in Infectious Diseases , Ed. 3, Edinburgh, E. & S. Livingstone, Ltd., 1947. 8. Jennings, G. H.: Protracted Nervous Complications of Typhoid Fever , Lancet 2:1218-1219, 1949. 9. Marmion, D. E.: The Treatment of Typhoid Fever with Chloramphenicol: A Clinical Study of 330 Cases of Enteric Fever Treated in Egypt , Tr. Roy. Soc. Trop. Med. & Hyg. 46:619-638, 1952. 10. McCrory, W. W., and Macaulay, D.: Idiopathic Hyponatremia in an Infant with Diffuse Cerebral Damage , Pediatrics 20:23-32, 1957. 11. Roger, H., and Gastaut, H.: The Vegetative Encephalitis in Typhoid Fever , Lancet 1:709-710, 1945. 12. Schachter, M.: Les encéphalopathies posttyphoïdiques chez l'enfant , Ann. paediat. 183:43-58, 1954. 13. Watson, K. C.: Chloramphenicol in Typhoid Fever: A Review of 110 Cases , Tr. Roy. Soc. Trop. Med. & Hyg. 48:526, 1954. 14. Watson, K. C.: Salmonella Meningitis , Arch. Dis. Childhood 33:171-175, 1958. 15. Zellweger, H., and Idriss, H.: La dysrégulation electrolytémique dans l'encephalopathie salmonellose, Rev. méd. Moyen Orient, to be published.

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1960

References