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Case Report
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| Beta-hemolytic group B Streptococcus meningitis in a young healthy woman | ||||||
| Li Han1, Rohit Gosain2, Maria Plataki3, Daniel Horowitz4, Daniel Bordea5 | ||||||
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1MD, First Year Resident, Internal Medicine, Bridgeport Hospital, Bridgeport, Connecticut, USA.
2Dept. of Internal Medicine, Bridgeport Hospital - Yale University, Bridgeport, CT. 3MD, Second Year Resident, Internal Medicine, Bridgeport Hospital, Bridgeport, Connecticut, USA. 4MD, Third Year Resident, Internal Medicine, Bridgeport Hospital, Bridgeport, Connecticut, USA. 5MD, Hospitalist, Internal Medicine, Bridgeport Hospital, Bridgeport, Connecticut, USA. | ||||||
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| How to cite this article: |
| Han L, Gosain R, Plataki M, Horowitz D, Bordea D. Beta-hemolytic group B Streptococcus meningitis in a young healthy woman. International Journal of Case Reports and Images 2013;4(9):515–517. |
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Abstract
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Introduction:
Group B Streptococcus (GBS) is the leading cause of bacterial meningitis and sepsis in neonates but is a rare cause of meningitis in adults. The GBS infections in adults include bloodstream infections, pneumonia, skin and soft-tissue infections, and bone and joint infections.
Case Report: A 23-year-old woman with a past medical history of stroke at the age of four and Staphylococcus aureus toxic shock syndrome at age 10 was presented to the emergency department with three days of worsening frontal headache, fatigue and mild confusion. Patient denied fever, photophobia, neck stiffness, nausea and vomiting. Brudzinski's sign and Kernig's sign were negative. Laboratory data showed initially elevated WBC (13.5x103/µL) and normal metabolic panel. Cerebrospinal fluid (CSF) analysis was normal with two white cells, all lymphocytes. After two days of hospitalization, she was back to her normal state without any headache or confusion and was discharged home. One day after discharge, both urine and CSF culture grew ß-hemolytic GBS but with negative blood cultures. She was readmitted and placed on ceftriaxone 2g IV twice daily for 14 days. Conclusion: This case illustrates an unusual presentation of group B Streptococcus meningitis. Internists should be aware of atypical group B Streptococcus meningitis and consider treating patients with empiric antibiotics on clinical suspicion. | |
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Keywords:
Group B Streptococcus, ß-hemolytic
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Author Contributions
Li Han – Substantial contributions to conception and design, Analysis and interpretation of data; Drafting the article, Final approval of the version to be published Rohit Gosain – Substantial contributions to conception and design, Acquisition of data; Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Maria Plataki – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published Daniel Horowitz – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published Daniel Bordea – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Li Han et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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