| Meningitis due to group C Streptococcus: a case report and review of the literature. | |
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MedLine Citation:
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PMID: 20632899 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Anita Rajasekhar; Cornelius J Clancy |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Scandinavian journal of infectious diseases Volume: 42 ISSN: 1651-1980 ISO Abbreviation: Scand. J. Infect. Dis. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-16 Completed Date: 2010-10-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0215333 Medline TA: Scand J Infect Dis Country: England |
Other Details:
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Languages: eng Pagination: 571-8 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of Florida, Gainesville, Florida, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Anti-Bacterial Agents |
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