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An unusual case of Streptococcus agalactiae meningitis in a patient with sys-temic lupus erythematosus

E Protonotariou1, A Arampatzi1, V Ourailoglou2

  • 1Department of Microbiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Hippokratia
|October 6, 2016
PubMed
Abstract

Insights

A fatal case of Streptococcus agalactiae meningitis occurred in a young man with systemic lupus erythematosus. This highlights the high risk of serious infections in lupus patients, even with corticosteroid treatment.

Area of Science:

  • Infectious Diseases
  • Rheumatology

Background:

  • Streptococcus agalactiae, also known as group B Streptococcus, is a significant cause of neonatal sepsis and meningitis.
  • It also poses a risk for invasive diseases in adult populations.

Observation:

  • An unusual case of fatal bacterial meningitis caused by Streptococcus agalactiae is presented.
  • The patient was a young man with a 20-year history of systemic lupus erythematosus.

Findings:

  • The patient presented in a coma and, despite intensive treatment, succumbed to multiple organ failure within 24 hours.
  • The meningitis was attributed to Streptococcus agalactiae.

Implications:

  • Patients with systemic lupus erythematosus face a high risk of severe infections.
  • This risk persists even when patients are on moderate doses of corticosteroids.
Keywords:
Streptococcus agalactiaeimmunocompromised patientmeningitissystemic lupus erythematosus

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