A case report of meningitis caused by Shigella Flexnery in a 25 month child without immune deficiency

Abstract

Objective: Shigelloid meningitis is a rather rare disease in healthy children that occurs in patients with a history of malnutrition and immune deficiency. Case: The case is a 25-month child referred to the hospital for fever, restlessness, convulsion, nausea and coughing. In physical examination, it has got positive neurologic signs (Neck rigidity, positive Kernig and Brudzinsky sign). In lumbar puncture analysis, there was leukocytosis with PMN dominancy and low glucose level. In gram staining and culture of CSF, gram-negative bacilli grew. Then presence of Sh.Flexnery was confirmed by a reference laboratory. Conclusion: The patient improved after ceftriaxon administration in 10 days and no complication was observed during a follow up of 3 months.

Keywords

• meningitis
• shigella flexnery
• child
• immune deficiency