Recurrent Meningitis and Subarachnoid Hemorrhage Due to Salmonella in an HIV+ Patient: Case Report and Mini-Review of the Literature

Waldo H Belloso*, 1, Marina Romano2, Graciela S Greco3, Richard T Davey4, Ariel G Perelsztein1, Marisa L Sánchez1, Martín R Ajzenszlos1, Inés M Otegui1
1 Infectious Diseases Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina
2 Neurology Service, Hospital Italiano de Buenos Aires, Argentina
3 Bacteriology Section, Central Laboratory, Hospital Italiano de Buenos Aires, Argentina
4 Division of Clinical Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, DHHS, USA

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© Belloso et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Sección Infectología, Hospital Italiano de Buenos Aires, Perón 4190 (1199) Buenos Aires, Argentina; Fax: (+5411) 4959-0393; E-mail:


Meningitis due to non-typhi salmonella is infrequent in HIV-positive adults.

We report a case of a patient with >300 CD4+ cells/mm3 who presented with five episodes of recurrent meningitis, focal subarachnoid hemorrhage and cerebral vasculitis ultimately attributed to Salmonella choleraesuis infection. Even within the cART era invasive salmonellosis can occur in unusual ways in HIV-infected patients.

Keywords: Meningitis, Salmonella, opportunistic infections, subarachnoid hemorrhage, vasculitis, HIV infection..