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Streptococcus sanguis meningitis: report of a case
Verajit Chotmongkol1, Jedsada Panthavasit, Malai Vorachit
1Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|September 26, 2002
Summary
A case of acute meningitis caused by Streptococcus sanguis in an adult woman led to hearing loss. Prompt antibiotic treatment resulted in patient recovery and hearing restoration.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Bacterial meningitis can cause severe neurological sequelae, including hearing loss.
- Streptococcus species are known pathogens, but specific species like S. sanguis are less commonly implicated in adult meningitis.
Observation:
- A 35-year-old woman presented with symptoms of acute purulent meningitis.
- Initial Gram stain of cerebrospinal fluid (CSF) was negative for bacteria.
- CSF culture eventually identified Streptococcus viridans, later confirmed as Streptococcus sanguis.
Findings:
- Streptococcus sanguis was identified as the causative agent of meningitis.
- The patient experienced significant hearing loss as a complication.
- Treatment led to clinical improvement and recovery of hearing.
Implications:
- This case highlights S. sanguis as a potential cause of bacterial meningitis in adults.
- Early diagnosis and appropriate antibiotic therapy are crucial for managing meningitis and preventing long-term complications like hearing loss.
- Further research may elucidate the specific mechanisms of S. sanguis meningitis and its auditory impact.