Meningoencephalitis with Streptococcus equi Subspecies equi Leading to a Dural Arteriovenous Fistula
Invasive infection with Lancefield group C streptococci in humans is extremely rare, with the vast majority of clinical isolates belonging to Streptococcus dysgalactiae subsp. equisimilis. We report a case of meningoencephalitis in a 69-year-old man caused by Streptococcus equi subsp. equi, a microb...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/9898364 |
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| author | Jeroen Kerstens Busra Durmus Stijn Lambrecht Ingrid Baar Margareta M. Ieven Thijs Van Der Zijden Paul M. Parizel Tomas Menovsky Martin M. Y. Lammens Philippe G. Jorens |
| author_facet | Jeroen Kerstens Busra Durmus Stijn Lambrecht Ingrid Baar Margareta M. Ieven Thijs Van Der Zijden Paul M. Parizel Tomas Menovsky Martin M. Y. Lammens Philippe G. Jorens |
| author_sort | Jeroen Kerstens |
| collection | DOAJ |
| description | Invasive infection with Lancefield group C streptococci in humans is extremely rare, with the vast majority of clinical isolates belonging to Streptococcus dysgalactiae subsp. equisimilis. We report a case of meningoencephalitis in a 69-year-old man caused by Streptococcus equi subsp. equi, a microbe that causes strangles in Equus caballus (i.e., the horse). This is only the fourth infection with this subtype of the central nervous system (CNS) reported in humans. The invasiveness of these bacteria, known to be capable of releasing strongly immunogenic exotoxins, is illustrated by white matter lesions that are present in the acute phase. This patient initially recovered well after treatment with antibiotics and glucocorticoids. However, the patient was readmitted 5 months later with multiple intraparenchymatous cerebral haemorrhages. Cerebral angiography confirmed the presence of a suspected superficial dural arteriovenous fistula (DAVF), which is seldom reported after CNS infection. The invasiveness of these bacteria was illustrated by white matter lesions present in the acute phase and the occurrence of a de novo dural arteriovenous fistula in the follow-up period. |
| format | Article |
| id | doaj-art-53470e7225a0414e961faa19f46c5526 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-53470e7225a0414e961faa19f46c55262025-02-03T06:43:35ZengWileyCase Reports in Neurological Medicine2090-66682090-66762021-01-01202110.1155/2021/98983649898364Meningoencephalitis with Streptococcus equi Subspecies equi Leading to a Dural Arteriovenous FistulaJeroen Kerstens0Busra Durmus1Stijn Lambrecht2Ingrid Baar3Margareta M. Ieven4Thijs Van Der Zijden5Paul M. Parizel6Tomas Menovsky7Martin M. Y. Lammens8Philippe G. Jorens9Antwerp University Hospital, University of Antwerp, Department of Neurology, Edegem 2650, BelgiumAntwerp University Hospital, University of Antwerp, Department of Neurology, Edegem 2650, BelgiumAntwerp University Hospital, University of Antwerp, UZGent, UGent, Dept of Chemistry, 9000 Gent, BelgiumAntwerp University Hospital, University of Antwerp, Department of Critical Care Medicine, Edegem 2650, BelgiumAntwerp University Hospital, University of Antwerp, UZGent, UGent, Dept of Chemistry, 9000 Gent, BelgiumAntwerp University Hospital, University of Antwerp, Department of Radiology, Edegem 2650, BelgiumAntwerp University Hospital, University of Antwerp, Department of Radiology, Edegem 2650, BelgiumAntwerp University Hospital, University of Antwerp, Department of Neurosurgery, Edegem 2650, BelgiumAntwerp University Hospital, University of Antwerp, Department of Pathology, Edegem 2650, BelgiumAntwerp University Hospital, University of Antwerp, Department of Critical Care Medicine, Edegem 2650, BelgiumInvasive infection with Lancefield group C streptococci in humans is extremely rare, with the vast majority of clinical isolates belonging to Streptococcus dysgalactiae subsp. equisimilis. We report a case of meningoencephalitis in a 69-year-old man caused by Streptococcus equi subsp. equi, a microbe that causes strangles in Equus caballus (i.e., the horse). This is only the fourth infection with this subtype of the central nervous system (CNS) reported in humans. The invasiveness of these bacteria, known to be capable of releasing strongly immunogenic exotoxins, is illustrated by white matter lesions that are present in the acute phase. This patient initially recovered well after treatment with antibiotics and glucocorticoids. However, the patient was readmitted 5 months later with multiple intraparenchymatous cerebral haemorrhages. Cerebral angiography confirmed the presence of a suspected superficial dural arteriovenous fistula (DAVF), which is seldom reported after CNS infection. The invasiveness of these bacteria was illustrated by white matter lesions present in the acute phase and the occurrence of a de novo dural arteriovenous fistula in the follow-up period.http://dx.doi.org/10.1155/2021/9898364 |
| spellingShingle | Jeroen Kerstens Busra Durmus Stijn Lambrecht Ingrid Baar Margareta M. Ieven Thijs Van Der Zijden Paul M. Parizel Tomas Menovsky Martin M. Y. Lammens Philippe G. Jorens Meningoencephalitis with Streptococcus equi Subspecies equi Leading to a Dural Arteriovenous Fistula Case Reports in Neurological Medicine |
| title | Meningoencephalitis with Streptococcus equi Subspecies equi Leading to a Dural Arteriovenous Fistula |
| title_full | Meningoencephalitis with Streptococcus equi Subspecies equi Leading to a Dural Arteriovenous Fistula |
| title_fullStr | Meningoencephalitis with Streptococcus equi Subspecies equi Leading to a Dural Arteriovenous Fistula |
| title_full_unstemmed | Meningoencephalitis with Streptococcus equi Subspecies equi Leading to a Dural Arteriovenous Fistula |
| title_short | Meningoencephalitis with Streptococcus equi Subspecies equi Leading to a Dural Arteriovenous Fistula |
| title_sort | meningoencephalitis with streptococcus equi subspecies equi leading to a dural arteriovenous fistula |
| url | http://dx.doi.org/10.1155/2021/9898364 |
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