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Group A streptococcal meningitis in a patient with palmoplantar pustulosis

Hideharu Hagiya1, Fumio Otsuka

  • 1Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.

Internal Medicine (Tokyo, Japan)
|December 3, 2013
PubMed

Insights

Group A Streptococcal meningitis is a rare but serious infection. Early recognition and treatment are crucial, though complications like hearing loss can persist.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Otolaryngology

Background:

  • Group A Streptococcal meningitis is an uncommon cause of bacterial meningitis.
  • Understanding its clinical presentation and epidemiology is limited.

Observation:

  • A 64-year-old male with palmoplantar pustulosis, recent cranial surgery, and upper airway infection presented with fever and coma.
  • The patient was diagnosed with Group A Streptococcal meningitis.

Findings:

  • Prompt antibiotic treatment led to general recovery.
  • The patient experienced persistent sensorineural hearing loss and facial palsy.

Implications:

  • This case highlights the rarity and potential severity of Group A Streptococcal meningitis.
  • Increased physician awareness is needed for this infection due to its high complication and mortality rates.

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