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Published on: November 16, 2016
Group B Streptococcal Meningitis in a Healthy Young Woman: A Case Report
Alvin Oliver Payus1, Clarita Clarence2, Raymond Azman Ali2
1Faculty of Medicine and Health Science, Universiti Malaysia Sabah (UMS), Sabah, Malaysia.
Abstract:
Group B streptococcus (GBS) is a rare cause of meningitis in adults that commonly affects patients with multiple underlying comorbidities. Although it is uncommon, it typically progresses very rapidly and has a high mortality rate as compared to other causes of bacterial meningitis. Here, we report a patient with GBS meningitis who had no underlying medical illness and presented with multiple episodes of seizure within hours of developing fever. Cerebrospinal fluid analysis results were consistent with bacterial meningitis, and blood cultures grew GBS. She was treated with intravenous ceftriaxone for 2 weeks and made a great recovery without any sequalae. In conclusion, although GBS meningitis is uncommon in adults, it is a serious medical disease and associated with a high mortality rate. To the best of our knowledge, this patient represents one of the few reported cases of GBS meningitis in a previously healthy young adult.
Insights
Group B streptococcus (GBS) meningitis is rare in healthy adults but progresses rapidly with a high mortality rate. This case highlights GBS meningitis in a young, healthy individual, emphasizing its serious nature.
Area of Science:
- Infectious Diseases
- Neurology
- Microbiology
Background:
- Group B streptococcus (GBS) is an infrequent cause of meningitis in adults, typically affecting those with comorbidities.
- GBS meningitis presents aggressively with a high mortality rate compared to other bacterial meningitis forms.
Observation:
- A previously healthy young adult developed fever and multiple seizures within hours.
- Cerebrospinal fluid analysis confirmed bacterial meningitis; blood cultures identified GBS.
Findings:
- The patient received intravenous ceftriaxone for two weeks.
- Complete recovery without sequelae was achieved.
Implications:
- This case underscores that GBS meningitis can occur in healthy young adults.
- Early recognition and treatment are crucial for managing this severe infection.
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