# Salmonella Meningitis and Systemic Lupus Erythematosus: A Case Report

**Authors:** Khalid Agrad, Aziza Kantri, Hicham Bakkali, Chafik El Kettani

PMC · DOI: 10.7759/cureus.77577 · Cureus · 2025-01-17

## TL;DR

A 44-year-old woman with lupus developed Salmonella meningitis, a rare infection in adults, and recovered after treatment with ceftriaxone.

## Contribution

This case report highlights the rare occurrence of Salmonella meningitis in a lupus patient on immunosuppressive therapy.

## Key findings

- Salmonella meningitis was diagnosed in a lupus patient on immunosuppressive treatment.
- The patient showed confusional syndrome, headache, and fever before diagnosis.
- Treatment with ceftriaxone led to a successful clinical and biological recovery.

## Abstract

Salmonella meningitis is an uncommon infection in adults. We report the case of a 44-year-old woman with a history of lupus on immunosuppressive treatment with mycophenolate mofetil and prednisolone who presented with confusional syndrome preceded by headache and fever. A lumbar puncture revealed bacterial meningitis with Salmonella species. She was treated with ceftriaxone with a good clinical and biological outcome.

## Linked entities

- **Chemicals:** ceftriaxone (PubChem CID 5479530), mycophenolate mofetil (PubChem CID 5281078), prednisolone (PubChem CID 5755)
- **Diseases:** Systemic Lupus Erythematosus (MONDO:0007915)

## Full-text entities

- **Diseases:** fever (MESH:D005334), headache (MESH:D006261), infection (MESH:D007239), Systemic Lupus Erythematosus (MESH:D008180), bacterial meningitis (MESH:D016920), confusional syndrome (MESH:D003221)
- **Species:** Homo sapiens (human, species) [taxon 9606], Salmonella (genus) [taxon 590]

## Full text

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## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC11830501/full.md

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Source: https://tomesphere.com/paper/PMC11830501