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Revista chilena de infectología

Print version ISSN 0716-1018

Abstract

GONZALEZ, Bernardita et al. Acute bacterial meningitis by Streptococcus agalactiae in a non pregnant woman associated to a cerebrospinal fluid leak: a case report. Rev. chil. infectol. [online]. 2013, vol.30, n.6, pp.665-668. ISSN 0716-1018.  http://dx.doi.org/10.4067/S0716-10182013000600016.

Streptococcus agalactiae is a rare cause of acute bacterial meningitis. We report the case of a middle age non-pregnant female patient, with no comorbitidies, who was hospitalized with acute meningitis. The pathogen was identified both in blood and CSF. She recovered uneventfully with ceftriaxone and dexamethasone. A CSF leak was suspected by previous history of unilateral watery rhinorrhea, that was demonstrated with a high resolution paranasal sinus CT and beta-2 transferrin analysis of the nasal fluid. Vulvovaginitis was also diagnosed after admission, but no cultures were obtained. Streptococcus agalactiae is an infrequent cause of bacterial meningitis that should promote the search of anatomical abnormalities or comorbidities in non-pregnant adults and beyond newborn period.

Keywords : Bacterial meningitis; Streptococcus agalactiae; cerebrospinal fluid leak.

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