The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis
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...
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Elsevier
2015-01-01
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Series: | IDCases |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250915000323 |
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author | Beenish Siddiqui Marie Chevenon Minesh Nandi Benjamin Chaucer Wahib Zafar Jay Nfonoyim |
author_facet | Beenish Siddiqui Marie Chevenon Minesh Nandi Benjamin Chaucer Wahib Zafar Jay Nfonoyim |
author_sort | Beenish Siddiqui |
collection | DOAJ |
description | 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. |
first_indexed | 2024-12-17T03:16:11Z |
format | Article |
id | doaj.art-1d2b625d4ff54297834a219037209605 |
institution | Directory Open Access Journal |
issn | 2214-2509 |
language | English |
last_indexed | 2024-12-17T03:16:11Z |
publishDate | 2015-01-01 |
publisher | Elsevier |
record_format | Article |
series | IDCases |
spelling | doaj.art-1d2b625d4ff54297834a2190372096052022-12-21T22:05:38ZengElsevierIDCases2214-25092015-01-012411811910.1016/j.idcr.2015.10.002The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitisBeenish SiddiquiMarie ChevenonMinesh NandiBenjamin ChaucerWahib ZafarJay NfonoyimWe 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.http://www.sciencedirect.com/science/article/pii/S2214250915000323Bacterial meningitisGroup B streptococcusStreptococcus agalactiaeHemorrhagic strokeNonpregnantComplications |
spellingShingle | Beenish Siddiqui Marie Chevenon Minesh Nandi Benjamin Chaucer Wahib Zafar Jay Nfonoyim The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis IDCases Bacterial meningitis Group B streptococcus Streptococcus agalactiae Hemorrhagic stroke Nonpregnant Complications |
title | The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis |
title_full | The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis |
title_fullStr | The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis |
title_full_unstemmed | The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis |
title_short | The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis |
title_sort | first documented case of hemorrhagic stroke caused by group b streptococcal meningitis |
topic | Bacterial meningitis Group B streptococcus Streptococcus agalactiae Hemorrhagic stroke Nonpregnant Complications |
url | http://www.sciencedirect.com/science/article/pii/S2214250915000323 |
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