The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis

IDCases
Beenish SiddiquiJay Nfonoyim

Abstract

We report the case of a 47 year-old female with Streptococcus agalactiae (Group B beta-hemolytic streptococcus) meningitis complicated by hemorrhagic stroke. The patient presented to the emergency department with altered mental status, agitation, confusion, respiratory distress and fever of one-day duration. Labs showed left shift leukocytosis. CSF exhibited a high white blood cell count with a predominant population of polymononuclear cells, high glucose and protein concentration. CSF cultures grew S. agalactiae. Despite appropriate antimicrobial treatment, her mental status did not improve and head CT showed two hemorrhages, diffuse cerebral edema and a right to left midline shift. After completing the course of her therapy, her mental status improved and the patient was discharged.

References

May 1, 1981·Antimicrobial Agents and Chemotherapy·C N BakerR R Facklam
Sep 15, 1995·Annals of Internal Medicine·L A JacksonA Schuchat
Jun 24, 1993·The New England Journal of Medicine·M M FarleyD S Stephens
Dec 24, 1997·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P DomingoJ Garau
Jan 6, 2000·The New England Journal of Medicine·S J SchragA Schuchat
Jul 20, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M M Farley

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