Meningitis bacteriana aguda por Streptococcus agalactiae en una mujer no embarazada asociada a una fístula de LCR: comunicación de un caso / Acute bacterial meningitis by Streptococcus agalactiae in a non pregnant woman associated to a cerebrospinal fluid leak: a case report
Rev. chil. infectol
;
30(6): 665-668, dic. 2013. ilus
Article
in Spanish
| LILACS
| ID: lil-701716
ABSTRACT
Streptococcus agalactiae is a rare cause of acute bacterial meningitis. We report the case of a middle age non-pregnant female patient, with no comorbitidies, who was hospitalized with acute meningitis. The pathogen was identified both in blood and CSF. She recovered uneventfully with ceftriaxone and dexamethasone. A CSF leak was suspected by previous history of unilateral watery rhinorrhea, that was demonstrated with a high resolution paranasal sinus CT and beta-2 transferrin analysis of the nasal fluid. Vulvovaginitis was also diagnosed after admission, but no cultures were obtained. Streptococcus agalactiae is an infrequent cause of bacterial meningitis that should promote the search of anatomical abnormalities or comorbidities in non-pregnant adults and beyond newborn period.
RESUMEN
Streptococcus agalactiae es una causa infrecuente de meningitis bacteriana aguda. Comunicamos el caso de una mujer de edad media sin co-morbilidades que ingresó por un cuadro de meningitis producido por este patógeno, el que también fue identificado en hemocultivos. La paciente se trató con ceftriaxona y corticoesteroides i.v., recuperándose satisfactoriamente. Por el antecedente de una rinorrea acuosa unilateral, se sospechó una fístula de LCR, la que se demostró con una tomografía computada multicorte de senos paranasales y por una prueba de ß2 transferrina en fluido nasal. En forma concomitante se diagnosticó una vulvovaginitis sin estudio microbiológico. Streptococcus agalactiae es una causa infrecuente de meningitis bacteriana que si no se presenta asociada al embarazo o en neonatos, obliga a la búsqueda de anormalidades anatómicas o co-morbilidades.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Streptococcal Infections
/
Streptococcus agalactiae
/
Cerebrospinal Fluid Rhinorrhea
/
Meningitis, Bacterial
Type of study:
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Rev. chil. infectol
Journal subject:
Communicable Diseases
Year:
2013
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Militar de Santiago/CL
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