Document Detail


Meningitis due to group C Streptococcus: a case report and review of the literature.
MedLine Citation:
PMID:  20632899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Group C streptococci (GCS) are common causes of veterinary diseases and may colonize humans. Human diseases due to GCS are uncommon and generally occur in the elderly and persons exposed to animals or animal products. We report a case of Streptococcus equi subsp. zooepidemicus meningitis in a horse trainer and review 36 cases of GCS meningitis reported in the literature. The median age was 48 y and the majority of patients were previously healthy. Thirty-one percent (11/36) of the reported cases followed equine exposure and 19% (7/36) ingestion of dairy products. Sixty-seven percent (24/36) were found to have concomitant bacteraemia. The case fatality rate was 31% (11/36), and 28% (7/25) of survivors were reported to have residual neurological impairments. At least 4 days of antibiotics were typically required before symptoms improved. Isolates were generally susceptible to beta-lactams. In conclusion, it is important to consider GCS in the differential of bacterial meningitis, in particular in elderly patients exposed to horses or dairy products. Beta-lactams are first-line therapy, but outcomes are poor.
Authors:
Anita Rajasekhar; Cornelius J Clancy
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Scandinavian journal of infectious diseases     Volume:  42     ISSN:  1651-1980     ISO Abbreviation:  Scand. J. Infect. Dis.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-16     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0215333     Medline TA:  Scand J Infect Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  571-8     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Florida, Gainesville, Florida, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Animals
Anti-Bacterial Agents / therapeutic use
Child
Child, Preschool
Female
Foodborne Diseases / diagnosis,  epidemiology,  microbiology
Horses
Humans
Infant
Infant, Newborn
Male
Meningitis, Bacterial / diagnosis*,  epidemiology,  microbiology*,  mortality
Middle Aged
Mortality
Occupational Exposure
Streptococcal Infections / diagnosis*,  epidemiology,  microbiology*,  mortality
Streptococcus equi / isolation & purification*
Treatment Outcome
Young Adult
Zoonoses / microbiology*,  transmission*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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