Salmonella Durban meningitis : case report and genomics study

Background: Bacterial meningitis caused by non-typhoid Salmonella can be a fatal condition which is more common in developing countries than in developed ones. Case presentation We report the case of a Salmonella meningitis in a Belgian six-month old male infant. The first clinical examination was reassuring but after a few hours his general state was deteriorating which led to a blood test and a lumbar puncture. The cerebrospinal fluid analysis was compatible with a bacterial meningitis which was later identified by the NRC (National Reference Center) as Salmonella enterica serovar Durban. Conclusions This serovar of Salmonella is extremely uncommon. An extended genomic analysis showed relatedness to historical cases with a connection to Guinea. In this paper, we describe the clinical presentation, the genomic typing and probable sources of infection.