Streptococcus agalactiae meningitis presenting withcerebral infarction in an adult patient: Clinical caseand review

Neurology Asia

article

Mihael Emilov Tsalta-Mladenov¹  Vladina Miroslavova Dimitrova³  Darina Kirilova Georgieva¹  Silva Peteva Andonova¹ 

[1] Department of Neurology and Neuroscience, Faculty of Medicine, Medical University “Prof. Paraskev Stoyanov”;Second Clinic of Neurology with ICU and Stroke unit, University Hospital “St. Marina”;Department of Physiotherapy, Rehabilitation, Thalassotherapy and Occupational Diseases, Faculty of Public Health, Medical University “Prof. Paraskev Stoyanov”

关键词: Group B Streptococcus;    Streptococcus agalactiae;    neuroinfection;    meningitis;    stroke;    ischemic stroke;    cerebral infarction;   

DOI  :  10.54029/2022eeh

学科分类：精神健康和精神病学

来源: Association of South East Asian Nations

【 摘 要 】

Bacterial meningitis is an inflammation of the meninges associated with the invasion of bacteria.The etiologic agents vary by age group. Bacterial meningitis due to group B streptococcus (GBS) iscommon for the neonatal period but is deemed to be rare in adult patients. Since 2000, more thantwo-thirds of all cases occur in adults, which is becoming a growing problem worldwide. We presenta rare case of GBS meningitis presented with cerebral infarction in an adult patient and briefly reviewthe etiology and incidence of GBS infections in adults. There is an increasing incidence of cases inelderly patients, particularly in those with more medical comorbidities. Cerebral infarction as an adverseeffect in bacterial meningitis is both a sign of severity and a predictor of a poor clinical outcome witha high mortality rate. Early recognition of the infection, a search for deep-seated infection, and earlyantimicrobial therapy are vital moments for successful management of the GBS disease.

【 授权许可】

CC BY