PMID: 8460332Jan 1, 1993Paper

Group B streptococcal meningitis in adults: case report and review of the literature

Scandinavian Journal of Infectious Diseases
R SarmientoR Khatib

Abstract

A case of group B streptococcal meningitis in an adult is presented with a review of 42 other cases reported in the English literature since 1940. Their median age was 58 years (72.5% were older than 45 years). Male/female ratio was 0.9:1, with male predominance in patients older than 60 years (76.5%). Predisposing illnesses were common but 13.9% of cases reported had no identifiable risk factor. Encephalopathy and bacteremia were frequent (81.3% and 94.4% respectively) and many patients (30%) had other foci of infection. Gram stain of cerebrospinal fluid was positive in 75% of cases. Mortality was 18.4% and 9.7% of survivors had bilateral hearing loss. Thus, this review illustrates that group B streptococcal meningitis in adults is a rare disease which occurs among high risk individuals. It is characterized by frequent encephalopathy, prevalence of other foci of infection and bacteremia with an outcome similar to other types of purulent meningitides.

Citations

Nov 14, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P J DezielP D Brown
Sep 14, 2000·Australian and New Zealand Journal of Medicine·E Wilder-SmithN Tee
Jul 16, 2008·Clinical Microbiology Reviews·Marc Tebruegge, Nigel Curtis
Jan 1, 1996·The Journal of Infection·J C GrahamM W McKendrick
Feb 1, 1997·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·D. BarcatJ. M. Ragnaud
Aug 1, 1995·Journal of Epidemiology and Community Health·D GunnellL Smith

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