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[Meningitis due to Streptococcus bovis type II].
A Ben-Ami1, G Gandelman, D Ergaz
1Dept. of Medicine B, Kaplan Hospital, Rehovot.
Harefuah
|July 29, 2000
Summary
Streptococcus bovis meningitis is rare, often linked to underlying conditions. Prompt diagnosis and treatment, like amoxicillin, are crucial for recovery, with a recommendation for further investigation of potential GI malignancy or endocarditis.
Area of Science:
- Infectious Diseases
- Microbiology
- Neurology
Background:
- Meningitis caused by Streptococcus bovis (S. bovis) is an uncommon infection.
- Previous reports indicate a strong association between S. bovis meningitis and predisposing underlying conditions or immunosuppressive therapies.
Observation:
- A case of meningitis and sepsis caused by S. bovis type II in a 74-year-old woman, 6 months post-splenectomy for hairy cell leukemia, is presented.
- The patient had no evidence of endocarditis or gastrointestinal (GI) malignancy.
Findings:
- The patient was successfully treated with intravenous amoxicillin, highlighting the efficacy of antibiotic monotherapy.
- This case adds to the limited English literature on S. bovis meningitis, emphasizing its rarity and association with compromised health states.
Implications:
- The study recommends a comprehensive work-up for GI malignancy and endocarditis in all patients diagnosed with S. bovis meningitis, despite the association not being definitively established.
- Early recognition and appropriate management of S. bovis meningitis are essential, particularly in immunocompromised individuals or those with significant comorbidities.