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The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis

Beenish Siddiqui1, Marie Chevenon1, Minesh Nandi1

  • 1Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY, United States.

Idcases
|January 22, 2016
PubMed

We report the case of a 47 year-old female with Streptococcus agalactiae (Group B beta-hemolytic streptococcus) meningitis complicated by hemorrhagic stroke. The patient presented to the emergency department with altered mental status, agitation, confusion, respiratory distress and fever of one-day duration. Labs showed left shift leukocytosis. CSF exhibited a high white blood cell count with a predominant population of polymononuclear cells, high glucose and protein concentration. CSF cultures grew S. agalactiae. Despite appropriate antimicrobial treatment, her mental status did not improve and head CT showed two hemorrhages, diffuse cerebral edema and a right to left midline shift. After completing the course of her therapy, her mental status improved and the patient was discharged.

Keywords:
Bacterial meningitisComplicationsGroup B streptococcusHemorrhagic strokeNonpregnantStreptococcus agalactiae

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