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Streptococcus bovis meningitis: report of 2 cases
R A Purdy1, B Cassidy, T J Marrie
1Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Neurology
|November 1, 1990
Summary
Streptococcus bovis meningitis is rare and lacks distinct symptoms, often occurring with underlying conditions. High-dose penicillin treatment is typically effective for this bacterial meningitis.
Area of Science:
- Infectious Diseases
- Neurology
- Microbiology
Background:
- Streptococcus bovis is an uncommon cause of meningitis.
- Meningitis requires prompt diagnosis and treatment to prevent severe outcomes.
Observation:
- This report details two new cases of Streptococcus bovis meningitis and reviews nine previously documented instances.
- Clinical and laboratory findings for Streptococcus bovis meningitis are not distinctive.
- Cerebrospinal fluid (CSF) Gram stains are frequently negative in these cases.
Findings:
- A significant predisposing factor in 10 of 11 cases was an underlying condition.
- Associated conditions included gastrointestinal disorders, endocarditis, CSF leaks, polymyalgia rheumatica, and mandibular blocks.
- High-dose penicillin therapy generally proves adequate for treating Streptococcus bovis meningitis.
Implications:
- Increased awareness of Streptococcus bovis as a potential meningitis pathogen is warranted, especially in patients with predisposing conditions.
- Diagnostic challenges due to non-specific features necessitate considering this etiology.
- Effective treatment options exist, highlighting the importance of timely and appropriate antimicrobial therapy.
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