Case Report: Group B Streptococcus meningitis in an adolescent [v1; ref status: indexed, http://f1000r.es/3u4]

F1000Research

Roselle Vittorino¹  Teresa McCann¹  Adam J. Ratner²  Joyce Hui-Yuen³  Amy Starr³ 

[1] Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Medical Center, New York, NY, 10032, USA;Division of Pediatric Infectious Diseases, Department of Pediatrics, Columbia University Medical Center, New York, NY, 10032, USA;Division of Pediatric Rheumatology, Department of Pediatrics, Columbia University Medical Center, New York, NY, 10032, USA;

关键词: Antimicrobials & Drug Resistance;    Bacterial Infections;    Pediatric Infectious Diseases;   

DOI  :  10.12688/f1000research.4651.1

来源: DOAJ

【 摘 要 】

Streptococcus agalactiae (group B Streptococcus, GBS) usually colonizes the gastrointestinal and lower genital tracts of asymptomatic hosts, yet the incidence of invasive disease is on the rise. We describe a case of an 18 year old woman, recently diagnosed with lupus, who reported a spontaneous abortion six weeks prior to her hospitalization.  She presented with fever, altered mental status, and meningeal signs, paired with a positive blood culture for GBS. Magnetic resonance imaging of her brain demonstrated an extra-axial fluid collection, and she was diagnosed with meningitis.  She received prolonged intravenous antibiotic therapy and aggressive treatment for lupus, leading to clinical recovery. This case illustrates the importance of recognizing GBS as a potential pathogen in all patients presenting with CNS infection.

【 授权许可】

Unknown