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First report of Salmonella meningitis in children during 2011-2015 meningitis surveillance in Niger

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Research Paper 01/06/2017
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First report of Salmonella meningitis in children during 2011-2015 meningitis surveillance in Niger

A. Ali, J. Zanguina, A. Sousso, A. Moumouni, O. Sani
Int. J. Micro. Myco.5( 6), 1-6, June 2017.
Certificate: IJMM 2017 [Generate Certificate]
Key: CERMESMeningitisNigerSalmonellaSurveillance

Abstract

Meningitis due to salmonella is a rare infection poorly or not reported from NIGER. The infection is a complication of Salmonella infection that occurs in infants. Salmonella is the fourth cause of meningitis in Niger children, after Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae b. This retrospective study aimed to describe cases of salmonella meningitis in Niger infants. From January 2011 to December 2015, 6630 CSF collected nationwide were sent through an effective samples transport circuit already in place to allow the rapid delivery of thé CSF in CERMES, the National Reference laboratory-based meningitis surveillance for analysis. All turbid CSF from under 5 years patients were respectively cultured on Hektoen medium, Trypticase soy agar plate containing 5% sheep blood; and on chocolate agar plate. Gram negative bacilli were identified using API20 system. A total of 11/6630 (0.2%) Salmonella strains were isolated during the study. Most of the patients (72.7%) were less than 2 years old. The average age of children was 2.63 years with an extreme of 1 month to 14 years and the sex ratio M/F was 0.83. Of the eleven salmonella species detected, we found 7(63.6%) Salmonella typhi, 2 (16.7%) Salmonella spp, 1(8. 3%) Salmonella paratyphi A and 1 (8.3%) Salmonella paratyphi B. This study showed that Salmonella meningitis is a rare public health problem in Niger, despite the limitation on clinical symptoms data from patient case forms. Though, there was a risk which deserves to take salmonella in account in case of child meningitis.

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