Use of Steroids in Severe Salmonellae Infection in a 10 Months Old Girl: Case Report

Al Shabibi Buthina¹, Al Hashmi Samiya² and Al Hashami Hilal^3,

¹Pediatrics Intern, Royal Hospital, Muscat, Oman

²Pediatrician, Royal Hospital, Muscat, Oman

³Pediatrics Infectious Diseases consultant, Royal Hospital, Muscat, Oman

Cite this paper:
Al Shabibi Buthina, Al Hashmi Samiya and Al Hashami Hilal. Use of Steroids in Severe Salmonellae Infection in a 10 Months Old Girl: Case Report. American Journal of Medical Case Reports. 2018; 6(11):222-223. doi: 10.12691/ajmcr-6-11-1

Abstract

Salmonellae is one of determine infectious cause of acute gastroenteritis among children all over the world. It causes acute and self-limited gastroenteritis which can be complicated by Severe infection with central nervous system (CNS) involvement that can carry high risk of morbidity and mortality. Here, we report a case of Salmonella species acute gastroenteritis followed by severe sepsis with neurological manifestations in a child who is known case of Autosomal Recessive polycystic kidney with liver fibrosis. The infection was successfully treated with intravenous antibiotic along with short course of steroids. The child has complete recovery without any sequelae. In conclusion, this report demonstrates that use of steroid in severe salmonella infection with CNS involvement can improve the outcome.

Keywords:
Salmonellae species sepsis steroids

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References:

[1]	Jennifer C. Hunter, Louise K. Francois Watkins. Salmonellosis nontyphoid from: wwwnc.cdc.gov/travel/yellowbook/2018/infectious-diseases-related-to-travel/salmonellosis-nontyphoidal).
[2]	N.Cary Engleberg, Victor Dirita and Terence S. Dermody. Schaechter’s Mechanisms Of Microbial Disease, 5th 2013, Lippincot Williams & Wilkins, a Wolters Kluwer Business, Two Commerce Square,2001 Market Street, Philadelphia, PA19103.
[3]	Christian Hoffmann, MD, PhD and Jürgen K. Rockstroh, MD, PhD. Salmonella septicemia from: https://www.hivbook.com/tag/symptoms-of-salmonella-sepsis/ published on 23\oct\2011)..
[4]	Mohamed Jobayer Chisti, Pradip Kumar Bardhan, Sayeeda Huq, Wasif Ali Khan. Ali Miraj Khan, Sharifuzzaman et al. High-Dose Intravenous Dexamethasone In The Management of Diarrheal Patient With Enteric Fever And Encephalopathy: a randomized, placebo controlled, and double-blind study, Clinical science Division, International Center For Diarrheal Disease Research. Dhaka, Bangladesh.
[5]	Stephen L. Hoffman, Theodore E.Woodward, Rishard B. Hornick, Narian H. Punjabi and Sheldon E. Greisman. Effective treatment and prevention of typhoid fever: Updated: retrospective analysis study. Baltimore and namru 2, Jakarta, Indonesia.