Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava : A Case Report

Case Reports in Neurology
Kana FukumotoKoji Abe

Abstract

We report a rare case of meningitis due to a combination of Streptococcus mitis and Neisseria subflava. An 80-year-old female had a 4-year history of type II diabetes mellitus (DM) and an 11-year history of rheumatoid arthritis, which was treated with prednisolone, tacrolimus, and methotrexate. One month after the removal of a dental implant, she complained of a disturbance of consciousness and suffered a convulsion. A cerebrospinal fluid culture was found to be positive for both S. mitis and N. subflava. After 14 days of antibiotic treatment with 4 g/day ceftriaxone, her stiff neck, somnolence, and laboratory data greatly improved, and she was successfully discharged at 27 days after admission. Although both S. mitis and N. subflava are generally considered to be benign bacteria, they can cause meningitis in patients with the following risk factors: older age, on immunosuppressive treatment, DM, or dental treatment.

References

Jan 1, 1975·Yonsei Medical Journal·Y ChongS Y Lee
Jan 1, 1997·Journal of Pediatric Hematology/oncology·D R BalkundiR Kulkarni
Mar 18, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M A BaraldèsG Vazquez
Mar 7, 1966·JAMA : the Journal of the American Medical Association·R A Lewin, W T Hughes
Apr 2, 2008·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Selda Sayin KutluHuseyin Turgut
May 27, 2014·Emerging Infectious Diseases·Damoon Entesari-TatafiEugene Athan

❮ Previous
Next ❯

Citations

Feb 9, 2019·Infection·Erika ZeccaMario Pirisi

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Related Papers

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
M A BaraldèsG Vazquez
Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases
Hiroo MatsuoGoh Ohji
Japanese Journal of Infectious Diseases
Cheng-Hsien LuWen-Neng Chang
© 2022 Meta ULC. All rights reserved