Recurrent meningitis due to Salmonella arizonae in an adult with AIDS: case presentation and next-generation sequencing analysis

September 1, 2025
Bacteriology
Jairo Lizarazo, Catering Rodriguez, Efrain Montilla-Escudero, Carolina Duarte
Pathogen:Salmonella arizonae
Infection Type:Meningitis
Pathogen Type:Bacteria

Summary

An adult patient with AIDS presented with recurrent meningitis caused by Salmonella arizonae. The diagnosis was confirmed through next-generation sequencing analysis, highlighting the utility of advanced molecular techniques in identifying unusual pathogens, especially in immunocompromised individuals. This case illustrates a rare manifestation of S. arizonae infection, which typically causes gastroenteritis but can lead to severe extra-intestinal disease like meningitis in patients with compromised immune systems. The recurrent nature emphasizes the challenges in managing such infections.

Key note: Next-generation sequencing is crucial for accurate identification of atypical pathogens in complex clinical scenarios.

DOI: 10.1128/asmcr.00095-25