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Related Experiment Videos

Meningitis caused by Streptococcus bovis

W A Gavryck, F R Sattler

    Archives of Neurology
    |May 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Streptococcus bovis meningitis is rare and can present atypically. This case highlights the importance of investigating bacterial endocarditis and gastrointestinal cancer in patients with S. bovis CNS infections.

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    Area of Science:

    • Infectious Diseases
    • Neurology
    • Cardiology

    Background:

    • Meningitis, an inflammation of the membranes surrounding the brain and spinal cord, can be caused by various pathogens.
    • Streptococcus bovis (now often classified as Streptococcus gallolyticus) is a bacterium with a known association with endocarditis and gastrointestinal malignancies.

    Observation:

    • A 66-year-old male presented with meningitis, but lacked the typical signs of pyogenic meningitis.
    • Cerebrospinal fluid (CSF) and blood cultures identified Streptococcus bovis.

    Findings:

    • The patient's presentation of meningitis was unusual, lacking classic symptoms.
    • Bacteremia in this patient suggested bacterial endocarditis as the source of the central nervous system (CNS) infection.
    • This represents the fourth reported case of meningitis attributed to S. bovis, with prior cases also linked to endocarditis.

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    Implications:

    • Recovery of S. bovis from CSF warrants investigation for bacterial endocarditis.
    • The association of S. bovis with gastrointestinal tumors necessitates screening for occult GI malignancy.
    • Prompt diagnosis and treatment with antibiotics, such as penicillin G potassium, are crucial for patient recovery.