Document Detail

Meningitis due to group C Streptococcus: a case report and review of the literature.
MedLine Citation:
PMID:  20632899     Owner:  NLM     Status:  MEDLINE    
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.
Anita Rajasekhar; Cornelius J Clancy
Related Documents :
11816259 - Amphotericin b lipid complex for hansenula anomala pneumonia.
9227859 - Extrapulmonary pneumocystosis.
9435029 - Infrequent manifestations of tularaemia in sweden.
12783279 - Bacteremic pneumococcal cellulitis compared with bacteremic cellulitis caused by staphy...
23959759 - Impact of helicopter emergency medical services in major incidents: systematic literatu...
18190309 - Epidemiology of severe pneumonia caused by legionella longbeachae, mycoplasma pneumonia...
12452489 - The reappearance of dengue-3 and a subsequent dengue-4 and dengue-1 epidemic in puerto ...
16250569 - New telescopic crown protocol for partially edentulous patients: report of 32 cases.
1740809 - Splint appliance for the management of posttrauma lip deformities: technical note and c...
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    
Department of Medicine, University of Florida, Gainesville, Florida, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Anti-Bacterial Agents / therapeutic use
Child, Preschool
Foodborne Diseases / diagnosis,  epidemiology,  microbiology
Infant, Newborn
Meningitis, Bacterial / diagnosis*,  epidemiology,  microbiology*,  mortality
Middle Aged
Occupational Exposure
Streptococcal Infections / diagnosis*,  epidemiology,  microbiology*,  mortality
Streptococcus equi / isolation & purification*
Treatment Outcome
Young Adult
Zoonoses / microbiology*,  transmission*
Reg. No./Substance:
0/Anti-Bacterial Agents

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

Previous Document:  Management of perioperative stent thrombosis in patients undergoing surgery.
Next Document:  Non-tuberculous mycobacteria in HIV-negative patients with pulmonary disease in Lisbon, Portugal.