Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitis
Streptococcus agalactiae, also known as Group B Streptococcus (GBS), is a common pathogen in the neonatal period, causing meningitis and sepsis. In non-pregnant adults it is an unusual cause of meningitis. We report about an elderly female with several risk factors for invasive GBS infection who dev...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250923001415 |
| _version_ | 1797692070313328640 |
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| author | Ann Hudson Daniel Bobo Libardo Rueda Prada Igor Dumic Emilia Petcu Milena Cardozo Fnu Shweta |
| author_facet | Ann Hudson Daniel Bobo Libardo Rueda Prada Igor Dumic Emilia Petcu Milena Cardozo Fnu Shweta |
| author_sort | Ann Hudson |
| collection | DOAJ |
| description | Streptococcus agalactiae, also known as Group B Streptococcus (GBS), is a common pathogen in the neonatal period, causing meningitis and sepsis. In non-pregnant adults it is an unusual cause of meningitis. We report about an elderly female with several risk factors for invasive GBS infection who developed GBS meningoencephalitis one month after treatment for COVID-19 upper respiratory tract infection. The patient presented with mania, and the classic triad of headache, neck stiffness, and fever was absent which contributed to the delay in diagnosis. Following initiation of treatment with intravenous ceftriaxone she attained full recovery, and her behavior returned to baseline. This case illustrates an unusual presentation of an emerging infection and should alert clinicians about this presentation. By reporting this case we want to raise awareness about mania as a presenting feature of meningoencephalitis. This should lead to more timely diagnosis and better outcomes for future patients. |
| first_indexed | 2024-03-12T02:22:24Z |
| format | Article |
| id | doaj.art-b0a53d55b16a4ef29aeaf49d67c6a5e9 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-03-12T02:22:24Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-b0a53d55b16a4ef29aeaf49d67c6a5e92023-09-06T04:51:09ZengElsevierIDCases2214-25092023-01-0133e01817Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitisAnn Hudson0Daniel Bobo1Libardo Rueda Prada2Igor Dumic3Emilia Petcu4Milena Cardozo5Fnu Shweta6Mayo Clinic Alix School of Medicine, Rochester, MN, USA; Hospital Medicine, Mayo Clinic Health System, Eau Claire, WI, USAMayo Clinic Alix School of Medicine, Rochester, MN, USA; Department of Family Medicine, Mayo Clinic Health System, Eau Claire, WI, USAMayo Clinic Alix School of Medicine, Rochester, MN, USA; Hospital Medicine, Mayo Clinic, Jacksonville, FL, USAMayo Clinic Alix School of Medicine, Rochester, MN, USA; Hospital Medicine, Mayo Clinic Health System, Eau Claire, WI, USAMayo Clinic Alix School of Medicine, Rochester, MN, USA; Hospital Medicine, Mayo Clinic Health System, Eau Claire, WI, USAMayo Clinic Alix School of Medicine, Rochester, MN, USA; Hospital Medicine, Mayo Clinic Health System, Eau Claire, WI, USA; Corresponding author at: Hospital Medicine, Mayo Clinic Health System, Eau Claire, WI, USA.Mayo Clinic Alix School of Medicine, Rochester, MN, USA; Department of Infectious Diseases, Mayo Clinic Health System, Eau Claire, WI, USAStreptococcus agalactiae, also known as Group B Streptococcus (GBS), is a common pathogen in the neonatal period, causing meningitis and sepsis. In non-pregnant adults it is an unusual cause of meningitis. We report about an elderly female with several risk factors for invasive GBS infection who developed GBS meningoencephalitis one month after treatment for COVID-19 upper respiratory tract infection. The patient presented with mania, and the classic triad of headache, neck stiffness, and fever was absent which contributed to the delay in diagnosis. Following initiation of treatment with intravenous ceftriaxone she attained full recovery, and her behavior returned to baseline. This case illustrates an unusual presentation of an emerging infection and should alert clinicians about this presentation. By reporting this case we want to raise awareness about mania as a presenting feature of meningoencephalitis. This should lead to more timely diagnosis and better outcomes for future patients.http://www.sciencedirect.com/science/article/pii/S2214250923001415Streptococcus agalactiaeMeningitisEncephalitisManiaDelirium |
| spellingShingle | Ann Hudson Daniel Bobo Libardo Rueda Prada Igor Dumic Emilia Petcu Milena Cardozo Fnu Shweta Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitis IDCases Streptococcus agalactiae Meningitis Encephalitis Mania Delirium |
| title | Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitis |
| title_full | Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitis |
| title_fullStr | Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitis |
| title_full_unstemmed | Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitis |
| title_short | Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitis |
| title_sort | mania an atypical presentation of probable streptococcus agalactiae meningoencephalitis |
| topic | Streptococcus agalactiae Meningitis Encephalitis Mania Delirium |
| url | http://www.sciencedirect.com/science/article/pii/S2214250923001415 |
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