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Group B streptococcal meningitis and endopthalmitis
Verajit Chotmongkol1, Wasant Soonfuang, Sunan Chaithawangul
1Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
Summary
Group B beta-hemolytic Streptococci caused severe meningitis and eye inflammation in a patient. Despite treatment, the infection led to the loss of the affected eye.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Meningitis, an inflammation of the membranes surrounding the brain and spinal cord, can have various causes.
- Ocular involvement in meningitis is a serious complication that requires prompt diagnosis and management.
Observation:
- A case report details a 45-year-old male patient presenting with acute purulent meningitis and anterior uveitis in the right eye.
- Cultures of blood, cerebrospinal fluid (CSF), and vitreous fluid identified Group B beta-hemolytic Streptococci as the causative agent.
Findings:
- The patient's meningitis symptoms improved following appropriate antimicrobial therapy.
- Despite treatment, the severe ocular infection necessitated the evisceration (surgical removal of the eye's contents) of the right eye.
Implications:
- This case highlights the potential for Group B beta-hemolytic Streptococci to cause severe, invasive infections involving the central nervous system and the eye.
- Prompt identification and aggressive treatment are crucial to prevent devastating outcomes like vision loss and to manage CNS infections effectively.