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June 1960, Vol 99, No. 6 >
Article | June 1960

Encephalopathy in Salmonella Infections FREE

HANS ZELLWEGER, M.D.; HASSAN IDRISS, M.D.
[+] Author Affiliations

Submitted for publication Sept. 28, 1959.


AMA Am J Dis Child. 1960;99(6):770-777. doi:10.1001/archpedi.1960.02070030772012.
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Different neurological complications of typhoid are known to occur. A bacterial invasion of the meninges, a true bacterial meningitis, is rare and occurs mainly below 2 years of age.14 Peripheral neuritis, radiculitis, and radiculomyelitis, occasionally from the ascending type,7,8 and finally cases of brain involvement have been described.1,4,11,12 Some authors speak of encephalitis, others of encephalopathy; the latter is probably more correct. However, all these complications are rare. It is the purpose of this paper to present five cases of encephalopathy in Salmonella infections observed at the American University Hospital in Beirut. During this period of time about 150 cases of uncomplicated salmonellosis were admitted to this institution. However, these two figures do not permit a conclusion as to incidence of Salmonella encephalopathy, since many milder and even some of the severe cases are not hospitalized.

Case 1.—Fatal Encephalopathy Due to Paratyphoid B with Coma, Electrolyte

REFERENCES

1 +
Albòs, J.:  Encéphalopathies typhiques infantiles , Arch. franç. pediat. 14:526-531, 1957;.
2 +
Alpers, B. J.:  So-Called "Brain Purpura" or "Hemorrhagic Encephalitis," Arch. Neurol. & Psychiat. 20:497-523, 1928;.
3 +
Bastron, J. A., et al.: Clinical Examination in Neurology , Philadelphia, W. B. Saunders Company, 1956;.
4 +
Benhamou, E., and Albou, E.:  A propos de deux cas d'encéphalite typhoïdique contrôlés par les examens électroencéphalographiques , Bull. et mém. Soc. méd. hôp. Paris 66:1306-1311, 1950;.
5 +
Dufourt, A., and Froment, R.:  Complications et séquelles nerveuses de la fièvre typhoïde dans l'epidémie lyonnaise de 1928 , Presse méd . 42:1225-1227, 1934;.
6 +
Ford, F. R.:  Diseases of the Nervous System in Infancy , Childhood and Adolescence , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1950;.
7 +
Harries, E. H. R., and Mitman, M.: Clinical Practice in Infectious Diseases , Ed. 3, Edinburgh, E. & S. Livingstone, Ltd., 1947;.
8 +
Jennings, G. H.:  Protracted Nervous Complications of Typhoid Fever , Lancet 2:1218-1219, 1949;.
9 +
Marmion, D. E.:  The Treatment of Typhoid Fever with Chloramphenicol: A Clinical Study of 330 Cases of Enteric Fever Treated in Egypt , Tr. Roy. Soc. Trop. Med. & Hyg. 46:619-638, 1952;.
10 +
McCrory, W. W., and Macaulay, D.:  Idiopathic Hyponatremia in an Infant with Diffuse Cerebral Damage , Pediatrics 20:23-32, 1957;.
11 +
Roger, H., and Gastaut, H.:  The Vegetative Encephalitis in Typhoid Fever , Lancet 1:709-710, 1945;.
12 +
Schachter, M.:  Les encéphalopathies posttyphoïdiques chez l'enfant , Ann. paediat. 183:43-58, 1954;.
13 +
Watson, K. C.:  Chloramphenicol in Typhoid Fever: A Review of 110 Cases , Tr. Roy. Soc. Trop. Med. & Hyg. 48:526, 1954;.
14 +
Watson, K. C.:  Salmonella Meningitis , Arch. Dis. Childhood 33:171-175, 1958;.
15 +
Zellweger, H., and Idriss, H.: La dysrégulation electrolytémique dans l'encephalopathie salmonellose, Rev. méd. Moyen Orient, to be published.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Albòs, J.:  Encéphalopathies typhiques infantiles , Arch. franç. pediat. 14:526-531, 1957;.
2 +
Alpers, B. J.:  So-Called "Brain Purpura" or "Hemorrhagic Encephalitis," Arch. Neurol. & Psychiat. 20:497-523, 1928;.
3 +
Bastron, J. A., et al.: Clinical Examination in Neurology , Philadelphia, W. B. Saunders Company, 1956;.
4 +
Benhamou, E., and Albou, E.:  A propos de deux cas d'encéphalite typhoïdique contrôlés par les examens électroencéphalographiques , Bull. et mém. Soc. méd. hôp. Paris 66:1306-1311, 1950;.
5 +
Dufourt, A., and Froment, R.:  Complications et séquelles nerveuses de la fièvre typhoïde dans l'epidémie lyonnaise de 1928 , Presse méd . 42:1225-1227, 1934;.
6 +
Ford, F. R.:  Diseases of the Nervous System in Infancy , Childhood and Adolescence , Ed. 3, Springfield, Ill., Charles C Thomas, Publisher, 1950;.
7 +
Harries, E. H. R., and Mitman, M.: Clinical Practice in Infectious Diseases , Ed. 3, Edinburgh, E. & S. Livingstone, Ltd., 1947;.
8 +
Jennings, G. H.:  Protracted Nervous Complications of Typhoid Fever , Lancet 2:1218-1219, 1949;.
9 +
Marmion, D. E.:  The Treatment of Typhoid Fever with Chloramphenicol: A Clinical Study of 330 Cases of Enteric Fever Treated in Egypt , Tr. Roy. Soc. Trop. Med. & Hyg. 46:619-638, 1952;.
10 +
McCrory, W. W., and Macaulay, D.:  Idiopathic Hyponatremia in an Infant with Diffuse Cerebral Damage , Pediatrics 20:23-32, 1957;.
11 +
Roger, H., and Gastaut, H.:  The Vegetative Encephalitis in Typhoid Fever , Lancet 1:709-710, 1945;.
12 +
Schachter, M.:  Les encéphalopathies posttyphoïdiques chez l'enfant , Ann. paediat. 183:43-58, 1954;.
13 +
Watson, K. C.:  Chloramphenicol in Typhoid Fever: A Review of 110 Cases , Tr. Roy. Soc. Trop. Med. & Hyg. 48:526, 1954;.
14 +
Watson, K. C.:  Salmonella Meningitis , Arch. Dis. Childhood 33:171-175, 1958;.
15 +
Zellweger, H., and Idriss, H.: La dysrégulation electrolytémique dans l'encephalopathie salmonellose, Rev. méd. Moyen Orient, to be published.

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