The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis. Issue 4 (2015)

• Record Type: Journal Article
• Authors: Siddiqui, Beenish; Chevenon, Marie; Nandi, Minesh; Chaucer, Benjamin; Zafar, Wahib; Nfonoyim, Jay
• Is Part Of: IDCases. Volume 2:Issue 4(2015)
• Page Start: 118
• Page End: 119
• Publication Date: 2015
• Subjects: Bacterial meningitis -- Group B streptococcus -- Streptococcus agalactiae -- Hemorrhagic stroke -- Nonpregnant -- Complications; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2015.10.002
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: We report the case of a 47 year-old female with Streptococcus agalactiae (Group B beta-hemolytic streptococcus) meningitis complicated by hemorrhagic stroke. The patient presented to the emergency department with altered mental status, agitation, confusion, respiratory distress and fever of one-day duration. Labs showed left shift leukocytosis. CSF exhibited a high white blood cell count with a predominant population of polymononuclear cells, high glucose and protein concentration. CSF cultures grew S. agalactiae . Despite appropriate antimicrobial treatment, her mental status did not improve and head CT showed two hemorrhages, diffuse cerebral edema and a right to left midline shift. After completing the course of her therapy, her mental status improved and the patient was discharged.