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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Main Authors: Beenish Siddiqui, Marie Chevenon, Minesh Nandi, Benjamin Chaucer, Wahib Zafar, Jay Nfonoyim
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:IDCases
Subjects:
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.
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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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