Recurrent Meningitis and Subarachnoid Hemorrhage Due to Salmonella in an HIV+ Patient: Case Report and Mini-Review of the Literature
Waldo H Belloso*, 1, Marina Romano2, Graciela S Greco3, Richard T Davey4, Ariel G Perelsztein1, Marisa L Sánchez1, Martín R Ajzenszlos1, Inés M Otegui1
1 Infectious Diseases Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina
2 Neurology Service, Hospital Italiano de Buenos Aires, Argentina
3 Bacteriology Section, Central Laboratory, Hospital Italiano de Buenos Aires, Argentina
4 Division of Clinical Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, DHHS, USA
Meningitis due to non-typhi salmonella is infrequent in HIV-positive adults.
We report a case of a patient with >300 CD4+ cells/mm3 who presented with five episodes of recurrent meningitis, focal subarachnoid hemorrhage and cerebral vasculitis ultimately attributed to Salmonella choleraesuis infection. Even within the cART era invasive salmonellosis can occur in unusual ways in HIV-infected patients.
Keywords: Meningitis, Salmonella, opportunistic infections, subarachnoid hemorrhage, vasculitis, HIV infection..
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* Address correspondence to this author at the Sección Infectología, Hospital Italiano de Buenos Aires, Perón 4190 (1199) Buenos Aires, Argentina; Fax: (+5411) 4959-0393; E-mail: email@example.com