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Occurrence in an Adult

Carol A. Kauffman, MD; R. James St. Hilaire, MD

Arch Neurol. 1979;36(9):578-580.

Abstract
• Salmonella meningitis is predominantly a disease of infants. An adult patient is described who had meningitis due to S typhimurium following a traumatic fracture of the first lumbar vertebra. A review of previous cases of Salmonella meningitis in adults revealed a predominance of infection due to S typhi prior to 1940 with a variety of other serotypes isolated since then. Only one of nine patients survived prior to the antibiotic era, but three of five patients with Salmonella meningitis since 1940 have survived.

Author Affiliations
From the Division of Infectious Diseases, the Department of Internal Medicine, Cincinnati Veterans Administration Hospital and University of Cincinnati Medical Center, Cincinnati. Dr Kauffman is now with the Division of Infectious Diseases, Veterans Administration Hospital and University of Michigan Medical Center, Ann Arbor, Mich. Dr St. Hilaire is now with the Department of Internal Medicine, University of Washington Medical School, Seattle.

Footnotes
Accepted for publication July 2, 1978.

Reprint requests to Division of Infectious Diseases, Veterans Administration Hospital, 2215 Fuller Road, Ann Arbor, MI 48105 (Dr Kauffman).

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