Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis
Streptococcus agalactiae is a well-known pathogen during pregnancy and in neonates. Among non-pregnant adults, invasive infection, although rare, is showing increasing frequency, especially in chronically ill, immunosuppressed, or older patients. Although rare, the clinical features of meningeal inf...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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University of São Paulo
2015-12-01
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| Series: | Autopsy and Case Reports |
| Subjects: | |
| Online Access: | http://www.revistas.usp.br/autopsy/article/view/116311 |
| _version_ | 1828852460815384576 |
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| author | Renan Pedroso Batista Cristiane Rúbia Ferreira |
| author_facet | Renan Pedroso Batista Cristiane Rúbia Ferreira |
| author_sort | Renan Pedroso Batista |
| collection | DOAJ |
| description | Streptococcus agalactiae is a well-known pathogen during pregnancy and in neonates. Among non-pregnant adults, invasive infection, although rare, is showing increasing frequency, especially in chronically ill, immunosuppressed, or older patients. Although rare, the clinical features of meningeal infection caused by S. agalactiae are similar to other bacterial meningitis. The authors report the case of a middle-aged man previously diagnosed with hypertension, diabetes mellitus, and alcoholic liver cirrhosis, who was admitted at the emergency department with a Glasgow Coma Scale of 11/12, generalized spasticity, bilateral Babinski sign, and hypertension. The clinical outcome was bad, with refractory shock and death within 24 hours of hospitalization. The bacteriological work-up isolated S. agalactiae in the cerebral spinal fluid (CSF), blood, and urine. An autopsy revealed meningoencephalitis, acute myocardial infarction, and pyelonephritis due to septic emboli. The authors point out the atypical CSF findings, the rapid fatal outcome, and the importance of including this pathogen among the etiologic possibilities of invasive infections in this group of patients |
| first_indexed | 2024-12-12T23:53:43Z |
| format | Article |
| id | doaj.art-499420c9ad4c4f92885a78665fc4a025 |
| institution | Directory Open Access Journal |
| issn | 2236-1960 |
| language | English |
| last_indexed | 2024-12-12T23:53:43Z |
| publishDate | 2015-12-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Autopsy and Case Reports |
| spelling | doaj.art-499420c9ad4c4f92885a78665fc4a0252022-12-22T00:06:38ZengUniversity of São PauloAutopsy and Case Reports2236-19602015-12-015410.4322/acr.2015.028Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosisRenan Pedroso Batista0Cristiane Rúbia Ferreira1University of São Paulo. Faculty of Medicine. Department of PathologyUniversity of São Paulo. Hospital Universitário. Anatomic Pathology ServiceStreptococcus agalactiae is a well-known pathogen during pregnancy and in neonates. Among non-pregnant adults, invasive infection, although rare, is showing increasing frequency, especially in chronically ill, immunosuppressed, or older patients. Although rare, the clinical features of meningeal infection caused by S. agalactiae are similar to other bacterial meningitis. The authors report the case of a middle-aged man previously diagnosed with hypertension, diabetes mellitus, and alcoholic liver cirrhosis, who was admitted at the emergency department with a Glasgow Coma Scale of 11/12, generalized spasticity, bilateral Babinski sign, and hypertension. The clinical outcome was bad, with refractory shock and death within 24 hours of hospitalization. The bacteriological work-up isolated S. agalactiae in the cerebral spinal fluid (CSF), blood, and urine. An autopsy revealed meningoencephalitis, acute myocardial infarction, and pyelonephritis due to septic emboli. The authors point out the atypical CSF findings, the rapid fatal outcome, and the importance of including this pathogen among the etiologic possibilities of invasive infections in this group of patientshttp://www.revistas.usp.br/autopsy/article/view/116311Streptococcus agalactiaeMeningitisBacterialSepsisAutopsy |
| spellingShingle | Renan Pedroso Batista Cristiane Rúbia Ferreira Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis Autopsy and Case Reports Streptococcus agalactiae Meningitis Bacterial Sepsis Autopsy |
| title | Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis |
| title_full | Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis |
| title_fullStr | Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis |
| title_full_unstemmed | Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis |
| title_short | Streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis |
| title_sort | streptococcus agalactiae septicemia in a patient with diabetes and hepatic cirrhosis |
| topic | Streptococcus agalactiae Meningitis Bacterial Sepsis Autopsy |
| url | http://www.revistas.usp.br/autopsy/article/view/116311 |
| work_keys_str_mv | AT renanpedrosobatista streptococcusagalactiaesepticemiainapatientwithdiabetesandhepaticcirrhosis AT cristianerubiaferreira streptococcusagalactiaesepticemiainapatientwithdiabetesandhepaticcirrhosis |