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

Cases J. 2008 May 12;1(1):5. doi: 10.1186/1757-1626-1-5.

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.