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Carl W. Braun, MD; Judith Axelrod, MD
St Luke's Hospital Center New York

Arch Neurol. 1980;37(7):467-468.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Kaufman and Hilaire, in their article "Salmonella Meningitis" (36:578-580, 1979), speculated that trauma to the nervous system prior to asymptomatic bacteremia led to Salmonella infection of the meninges. These authors noted that a similar postulate was considered in two cases of Salmonella-infected subdural hematoma.^1.2

This concept of "locus minoris resistentiae" is illustrated by a subdural hematoma invaded by a blood-borne organism from the urinary tract.

Report of a Case.—

A 77-year-old woman was admitted with headache and right-sided weakness of one day's duration, following three weeks of general weakness.

The patient was febrile to 38.9 °C and pale. A mass was felt in the right lower abdomen. She was lethargic with nonfluent dysphasia, right homonymous hemianopsia, and flaccid right hemiplegia. The hemoglobin level was 4.4 g/dL. The WBC count was 10,300/cu mm, with normal differential cell count. Urinalysis demonstrated 20 to 50 WBCs per . . . [Full Text PDF of this Article]

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