| Clinical and Laboratory Features of Streptococcus salivarius Meningitis: A Case Report and Literature Review. | |
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MedLine Citation:
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PMID: 21817122 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Streptococcus salivarius is a normal member of the human oral microbiome that is an uncommon cause of invasive infections. Meningitis is a rare but increasingly reported infection caused by S. salivarius. Despite the growing number of reported cases, a comprehensive review of the literature on S. salivarius meningitis is lacking. We sought to gain a better understanding of the clinical presentation, evaluation, management and outcome of S. salivarius meningitis by analyzing previously reported cases. In addition to a single case reported here, 64 previously published cases of meningitis were identified for this review. The collected data confirm that the most patients presented with classical signs and symptoms of bacterial meningitis with a predominance of neutrophils in the cerebrospinal fluid (CSF) and hypoglycorrachia. The majority of cases followed iatrogenic or traumatic CSF contamination. Most cases were diagnosed by CSF culture within one day of symptom onset. There was no clear evidence of predisposing co-morbid conditions in patients with meningitis, although in most case reports limited information was given on the medical history of each patient. Outcomes were generally favorable with antibiotic management. Clinicians should suspect S. salivarius meningitis in patients presenting acutely after medical or surgical procedures involving the meninges. |
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Authors:
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Megan Wilson; Ryan Martin; Seth Walk; Carol Young; Sylvia Grossman; Erin Lin; David M Aronoff |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-4 |
Journal Detail:
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Title: Clinical medicine & research Volume: - ISSN: 1554-6179 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-8-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101175887 Medline TA: Clin Med Res Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1Department of Internal Medicine, the University of Michigan Medical School, Ann Arbor, MI 48109. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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