Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case Report
We report a rare case of meningitis due to a combination of Streptococcus mitis and Neisseria subflava. An 80-year-old female had a 4-year history of type II diabetes mellitus (DM) and an 11-year history of rheumatoid arthritis, which was treated with prednisolone, tacrolimus, and methotrexate. One...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2018-07-01
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| Series: | Case Reports in Neurology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/490695 |
| _version_ | 1818057316669325312 |
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| author | Kana Fukumoto Yasuhiro Manabe Shunya Fujiwara Yoshio Omote Hisashi Narai Haruto Yamada Takashi Saito Koji Abe |
| author_facet | Kana Fukumoto Yasuhiro Manabe Shunya Fujiwara Yoshio Omote Hisashi Narai Haruto Yamada Takashi Saito Koji Abe |
| author_sort | Kana Fukumoto |
| collection | DOAJ |
| description | We report a rare case of meningitis due to a combination of Streptococcus mitis and Neisseria subflava. An 80-year-old female had a 4-year history of type II diabetes mellitus (DM) and an 11-year history of rheumatoid arthritis, which was treated with prednisolone, tacrolimus, and methotrexate. One month after the removal of a dental implant, she complained of a disturbance of consciousness and suffered a convulsion. A cerebrospinal fluid culture was found to be positive for both S. mitis and N. subflava. After 14 days of antibiotic treatment with 4 g/day ceftriaxone, her stiff neck, somnolence, and laboratory data greatly improved, and she was successfully discharged at 27 days after admission. Although both S. mitis and N. subflava are generally considered to be benign bacteria, they can cause meningitis in patients with the following risk factors: older age, on immunosuppressive treatment, DM, or dental treatment. |
| first_indexed | 2024-12-10T12:42:48Z |
| format | Article |
| id | doaj.art-d9cce0ce3dc24519ab2c80972fcdffd0 |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-10T12:42:48Z |
| publishDate | 2018-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-d9cce0ce3dc24519ab2c80972fcdffd02022-12-22T01:48:29ZengKarger PublishersCase Reports in Neurology1662-680X2018-07-0110217718010.1159/000490695490695Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case ReportKana FukumotoYasuhiro ManabeShunya FujiwaraYoshio OmoteHisashi NaraiHaruto YamadaTakashi SaitoKoji AbeWe report a rare case of meningitis due to a combination of Streptococcus mitis and Neisseria subflava. An 80-year-old female had a 4-year history of type II diabetes mellitus (DM) and an 11-year history of rheumatoid arthritis, which was treated with prednisolone, tacrolimus, and methotrexate. One month after the removal of a dental implant, she complained of a disturbance of consciousness and suffered a convulsion. A cerebrospinal fluid culture was found to be positive for both S. mitis and N. subflava. After 14 days of antibiotic treatment with 4 g/day ceftriaxone, her stiff neck, somnolence, and laboratory data greatly improved, and she was successfully discharged at 27 days after admission. Although both S. mitis and N. subflava are generally considered to be benign bacteria, they can cause meningitis in patients with the following risk factors: older age, on immunosuppressive treatment, DM, or dental treatment.https://www.karger.com/Article/FullText/490695Streptococcus mitisNeisseria subflavaBacterial meningitisCompromised host |
| spellingShingle | Kana Fukumoto Yasuhiro Manabe Shunya Fujiwara Yoshio Omote Hisashi Narai Haruto Yamada Takashi Saito Koji Abe Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case Report Case Reports in Neurology Streptococcus mitis Neisseria subflava Bacterial meningitis Compromised host |
| title | Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case Report |
| title_full | Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case Report |
| title_fullStr | Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case Report |
| title_full_unstemmed | Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case Report |
| title_short | Meningitis due to a Combination of Streptococcus mitis and Neisseria subflava: A Case Report |
| title_sort | meningitis due to a combination of streptococcus mitis and neisseria subflava a case report |
| topic | Streptococcus mitis Neisseria subflava Bacterial meningitis Compromised host |
| url | https://www.karger.com/Article/FullText/490695 |
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