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Archives de pédiatrie
Volume 22, n° 6
pages 605-607 (juin 2015)
Doi : 10.1016/j.arcped.2013.09.019
Received : 16 May 2013 ;  accepted : 20 September 2013
Méningite à Salmonelle chez un nourrisson due à une tortue domestique
Salmonella meningitis in an infant due to a pet turtle
 

C. Ricard a, , J. Mellentin a, R. Ben Abdallah Chabchoub b, P. Kingbede b, T. Heuclin b, A. Ramdame c, A. Bouquet a, F. Couttenier b, S. Hendricx a
a Laboratoire de bactériologie, centre hospitalier de Douai, route de Cambrai, 59507 Douai, France 
b Service de médecine et chirurgie de l’enfant, centre hospitalier de Douai, route de Cambrai, 59507 Douai, France 
c Service d’imagerie médicale, centre hospitalier de Douai, route de Cambrai, 59507 Douai, France 

Auteur correspondant. Laboratoire de bactériologie, centre hospitalier de Douai, route de Cambrai, 59507 Douai, France.
Résumé

Bien que la majorité des infections à Salmonelles non typhiques soit d’origine alimentaire et se manifeste par des troubles digestifs, il existe d’autres sources de contamination telles que les reptiles, un des réservoirs naturels de la bactérie. Une contamination de l’homme est alors possible par contact direct avec l’animal ou son environnement. Les jeunes enfants, en particulier ceux âgés de moins de 5ans, sont très vulnérables aux infections à Salmonella . Les formes graves sont l’apanage de nourrissons en particulier avant 3 mois ou lorsqu’ils sont atteints de drépanocytose ou d’immunodéficience. Nous rapportons le cas d’une méningite à Salmonella enterica subsp. enterica sérotype Vitkin chez un nourrisson de 1 mois et demi contaminé par une tortue.

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Summary

In humans, Salmonella most often causes self-limiting gastroenteritis, but more severe symptoms such as sepsis and meningitis can also occur and can sometimes have a fatal outcome. Even if the meningitis is not fatal, sequelae such as epilepsy, cranial nerve palsies, and hydrocephalus can occur. In the United States, it has been estimated that approximately 6% of the human cases of salmonellosis can be attributed to contact with reptiles or amphibians. The infection may take place by direct contact between reptile and human or indirectly via contact with an environment contaminated with Salmonella from a reptile. Salmonella enterica subsp. enterica serotype Vitkin is a common gut inhabitant of reptiles. Though human cases due to this organism are exceedingly rare, it may infect young infants and immunocompromised individuals with a history of intimate associations with reptiles. Gastroenteritis is the most common presentation ; others include peritonitis, meningitis and bacteremia. We report a case of meningitis caused by S. enterica subsp. enterica serotype Vitkin in a 1-month-old child due to a pet turtle.

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