Streptococcus agalactiae Meningitis in Adult Patient: A Case Report and Literature Review

We report a case of group B streptococcus meningitis in a 72-year-old female patient who was admitted in our hospital with a 21-day history of bilateral lower thigh pain and swelling associated with fever, headache, and vomiting. Her past medical history was remarkable for DM type 2, hypertension, a...

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Main Author: Fahmi Yousef Khan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2016/6183602
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author Fahmi Yousef Khan
author_facet Fahmi Yousef Khan
author_sort Fahmi Yousef Khan
collection DOAJ
description We report a case of group B streptococcus meningitis in a 72-year-old female patient who was admitted in our hospital with a 21-day history of bilateral lower thigh pain and swelling associated with fever, headache, and vomiting. Her past medical history was remarkable for DM type 2, hypertension, and hypothyroidism. Upon admission, examination showed bilateral warmth and tender soft tissue swelling around the knees and MRI showed cellulitis of distal thirds of both thighs. The next day, the patient became drowsy. Neurologic examination showed neck rigidity and right sided hemiparesis. Cerebrospinal fluid and blood cultures yielded group B streptococcus sensitive to ceftriaxone, penicillin G, and vancomycin. The patient received ceftriaxone for a total of 14 days after which she improved and was discharged from the hospital with right sided weakness.
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series Case Reports in Infectious Diseases
spelling doaj-art-98372b4690054fde8d27ab3edbc43a492025-02-03T06:44:47ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/61836026183602Streptococcus agalactiae Meningitis in Adult Patient: A Case Report and Literature ReviewFahmi Yousef Khan0Department of Medicine, Hamad General Hospital, Doha, QatarWe report a case of group B streptococcus meningitis in a 72-year-old female patient who was admitted in our hospital with a 21-day history of bilateral lower thigh pain and swelling associated with fever, headache, and vomiting. Her past medical history was remarkable for DM type 2, hypertension, and hypothyroidism. Upon admission, examination showed bilateral warmth and tender soft tissue swelling around the knees and MRI showed cellulitis of distal thirds of both thighs. The next day, the patient became drowsy. Neurologic examination showed neck rigidity and right sided hemiparesis. Cerebrospinal fluid and blood cultures yielded group B streptococcus sensitive to ceftriaxone, penicillin G, and vancomycin. The patient received ceftriaxone for a total of 14 days after which she improved and was discharged from the hospital with right sided weakness.http://dx.doi.org/10.1155/2016/6183602
spellingShingle Fahmi Yousef Khan
Streptococcus agalactiae Meningitis in Adult Patient: A Case Report and Literature Review
Case Reports in Infectious Diseases
title Streptococcus agalactiae Meningitis in Adult Patient: A Case Report and Literature Review
title_full Streptococcus agalactiae Meningitis in Adult Patient: A Case Report and Literature Review
title_fullStr Streptococcus agalactiae Meningitis in Adult Patient: A Case Report and Literature Review
title_full_unstemmed Streptococcus agalactiae Meningitis in Adult Patient: A Case Report and Literature Review
title_short Streptococcus agalactiae Meningitis in Adult Patient: A Case Report and Literature Review
title_sort streptococcus agalactiae meningitis in adult patient a case report and literature review
url http://dx.doi.org/10.1155/2016/6183602
work_keys_str_mv AT fahmiyousefkhan streptococcusagalactiaemeningitisinadultpatientacasereportandliteraturereview