An Unusual Case of Extensively Drug-Resistant (XDR) Salmonella Typhi Meningitis in Seven Month Old

Abstract

Meningitis is unusual complication of salmonella typhi, having a high mortality rate and neurological issues, making early identification & treatment absolutely essential. Its prevalence is 6 % with unfortunate deteriorating neurological sequence. Patients of bacterial meningitis mostly presented with headache, fever, ALOC & neck rigidity. CSF culture is used to make absolute diagnosis. In this case report, a case of 7 month old male baby is presented who had XDR-Salmonella typhi meningitis, an uncommon incident of salmonella meningitis manifested with enteric fever that was unresponsive to early antibiotic therapy. It was then treated with imipenem and azithromycin as the typhi strain was sensitive to these drugs as per culture report.