Salmonella Meningitis in the Newborns and Young Infants in Jakarta, Indonesia

  • Sumarmo Sumarmo Department of Child Health, University of Indonesia Medical School, Jakarta
  • Muslim A. Nathin Department of Child Health, University of Indonesia Medical School, Jakarta
  • Sofyan Ismael Department of Child Health, University of Indonesia Medical School, Jakarta
  • W. A. F. J. Tumbelaka Department of Child Health, University of Indonesia Medical School, Jakarta
Keywords: salmonella, meningitis, salmonella meningitis, ventricular tap

Abstract

Experience with salmonella meningitis in the newborn and young infants
below the age of 40 days hospitalized during the period 1976- 1979 was described. They constituted 8.6% of the 324 cases of purulent meningitis in children in approximately 20.000 admissions in the 4-year-period. There was a preponderance of males among the patients and the youngest case was 2 days old. The Salmonella serotypes isolated from cerebral spinal fluid were havana ( 17 cases J and oranienburg (11 cases). Of particular interest is the fact that 4 of the infants and their mothers showed the identical offending organisms isolated from the spinal fluid and rectal swab. The most common predisposing maternal obstetric complications
were fever and premature rupture of the amniotic membranes, whereas the predisposing factors in the infants were infections, asphyxia arul prematurity. Ventriculitis, subdural effusion/empyema and hydrocephalus were the most common complications. A brief discussion has been made on the appropriate time to perform ventricular tap.

References

1. BERMAN, P.H.; BANKER, B.O.: Neonatal meningitis : A cJ:nical and pathological study of 29 cases . Pediatrics 58: 6 (1966).
2. DENIS, F.; BADIANE, S.; CHURON, J.P.; SOW, A.; DIOP MAR, I. :
Salmonella meningitis in infants. Lancet i : 910 (1977).
3. KEITEL, H.G.; HANANIAN, J.; TING, R.; PRINCE, L.N.; RANDALE, E. :
Meningitis in newborn infants. J. Pediatr. 61 : 39 (1962).
4. LEE, E.L.; ROBINSON, M.J.; THONG, M.L.; PUTHUCHEARY, S.D.; ONG, T.H. K.K. NG. : Intraventricular chemotherapy in neonatal meningitis. J. Pediatr. 91 : 991 (1977).
5. LEWIS, B.R.; GUPTA, J.M. : Present prognosis in neonatal meningitis. Med. J. Aust. 1 : 695 (1977).
6. SALMON, J.H.: Ventriculitis complicating meningitis. Am. J, Dis. Child 124 : 35 (1972).
7. SERIKI, 0. : Pyogenic meningitis ininfancy and childhood. Clin. Paeditr. 9 : 17 (1970).
8. STE-MARIO M.J.; LEE E.M.; BROWN W.R. : Radioimmunologic measurements of naturally occurring antibodies. III Antibodies reactive with E. coli or Bacteroides fragilus in breast fluids and sera of mothers and newborn infants. Pediatr. Res. 8 : 815 (1974).
9. WASBURN, T.C.; MEDEARIS, D.N.; CHILDS, B. : Sex differences in susceptibility to infections. Pediatrics 35 : 57 (1965).
Published
1982-10-30
How to Cite
1.
Sumarmo S, Nathin M, Ismael S, Tumbelaka WAFJ. Salmonella Meningitis in the Newborns and Young Infants in Jakarta, Indonesia. PI [Internet]. 30Oct.1982 [cited 27Apr.2024];22(9-10):185-4. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1633
Section
Pediatric Neurology
Received 2017-08-29
Accepted 2017-08-29
Published 1982-10-30