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. 1995 Jan-Apr;68(1-2):1–6.

Group B streptococcal meningitis presenting as stroke in a nondebilitated man.

H Klassen 1, M K Klassen 1, M Huncharek 1
PMCID: PMC2590844  PMID: 8748460

Abstract

An unusual case of group B streptococcal meningitis in an adult is described. The evidence presented suggests that early vascular involvement during the meningitic process resulted in cerebral infarction, thereby explaining the patient's sudden deterioration and atypical presentation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aharoni A., Potasman I., Levitan Z., Golan D., Sharf M. Postpartum maternal group B streptococcal meningitis. Rev Infect Dis. 1990 Mar-Apr;12(2):273–276. doi: 10.1093/clinids/12.2.273. [DOI] [PubMed] [Google Scholar]
  2. Bayer A. S., Chow A. W., Anthony B. F., Guze L. B. Serious infections in adults due to group B streptococci. Clinical and serotypic characterization. Am J Med. 1976 Oct;61(4):498–503. doi: 10.1016/0002-9343(76)90329-6. [DOI] [PubMed] [Google Scholar]
  3. Björkhem G., Christensen K. K., Christensen P., Schalén C. Group B streptococcal meningitis in previously healthy adult males. Scand J Infect Dis. 1978;10(2):143–145. doi: 10.3109/inf.1978.10.issue-2.08. [DOI] [PubMed] [Google Scholar]
  4. Brockman M. D., Rhoades E. R. Myocardial abscess and fatal sepsis caused by group B streptococcus (S agalactiae) in an adult. South Med J. 1979 Dec;72(12):1629–1629. doi: 10.1097/00007611-197912000-00050. [DOI] [PubMed] [Google Scholar]
  5. Delmas M. C., Rebaud P., Floret D. Occlusion carotidienne au cours d'une méningite à streptocoque B. Pediatrie. 1986 Jul-Aug;41(5):425–428. [PubMed] [Google Scholar]
  6. Dunne D. W., Quagliarello V. Group B streptococcal meningitis in adults. Medicine (Baltimore) 1993 Jan;72(1):1–10. doi: 10.1097/00005792-199301000-00001. [DOI] [PubMed] [Google Scholar]
  7. Feltoon A., Glauser J. Group B streptococcal meningitis in an intravenous drug abuser. Ann Emerg Med. 1984 Sep;13(9 Pt 1):739–742. doi: 10.1016/s0196-0644(84)80740-4. [DOI] [PubMed] [Google Scholar]
  8. Gallagher P. G., Watanakunakorn C. Group B streptococcal bacteremia in a community teaching hospital. Am J Med. 1985 May;78(5):795–800. doi: 10.1016/0002-9343(85)90285-2. [DOI] [PubMed] [Google Scholar]
  9. Grossman J., Tompkins R. L. Group B beta-hemolytic streptococcal meningitis in mother and infant. N Engl J Med. 1974 Feb 14;290(7):387–388. doi: 10.1056/NEJM197402142900709. [DOI] [PubMed] [Google Scholar]
  10. Harburg T. D., Leonard H. A., Kimbrough R. C., 3rd, Jones S. R. Group B streptococcal meningitis appearing as acute deafness in an adult. Arch Neurol. 1984 Feb;41(2):214–216. doi: 10.1001/archneur.1984.04050140116039. [DOI] [PubMed] [Google Scholar]
  11. John J. F., Jr, Cook F. V. Endocarditis associated with disseminated group B streptococcal infection. Am J Med Sci. 1977 Sep-Oct;274(2):197–201. doi: 10.1097/00000441-197709000-00012. [DOI] [PubMed] [Google Scholar]
  12. Lakhani M., Smith E. A. Group B streptococcal meningitis in a diabetic adult. Postgrad Med J. 1986 Oct;62(732):933–934. doi: 10.1136/pgmj.62.732.933. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Lentnek A. L., Ferguson R., Fierer E. Group B streptococcal meningitis associated with a CSF fistula. Arch Neurol. 1978 Feb;35(2):114–115. doi: 10.1001/archneur.1978.00500260052014. [DOI] [PubMed] [Google Scholar]
  14. Lerner P. I., Gopalakrishna K. V., Wolinsky E., McHenry M. C., Tan J. S., Rosenthal M. Group B streptococcus (S. agalactiae) bacteremia in adults: analysis of 32 cases and review of the literature. Medicine (Baltimore) 1977 Nov;56(6):457–473. doi: 10.1097/00005792-197711000-00001. [DOI] [PubMed] [Google Scholar]
  15. Lerner P. I. Meningitis caused by Streptococcus in adults. J Infect Dis. 1975 May;131 (Suppl):S9–16. doi: 10.1093/infdis/131.supplement.s9. [DOI] [PubMed] [Google Scholar]
  16. Ment L. R., Ehrenkranz R. A., Duncan C. C. Bacterial meningitis as an etiology of perinatal cerebral infarction. Pediatr Neurol. 1986 Sep-Oct;2(5):276–279. doi: 10.1016/0887-8994(86)90019-6. [DOI] [PubMed] [Google Scholar]
  17. Moodley M., Bullock M. R. Severe neurological sequelae of childhood bacterial meningitis. S Afr Med J. 1985 Oct 12;68(8):566–570. [PubMed] [Google Scholar]
  18. Nicklas J. M. Serious group B beta-hemolytic streptococcal infections in adults: report of two cases and review of the literature. Johns Hopkins Med J. 1978 Feb;142(2):39–45. [PubMed] [Google Scholar]
  19. Niklasson P. M., Bäck E., Kalin M., Wadström T. Group B streptococcal meningitis in children and adults. A report of three cases and detection of antibodies with crossed immunoelectrophoresis. Scand J Infect Dis. 1976;8(3):165–168. doi: 10.3109/inf.1976.8.issue-3.08. [DOI] [PubMed] [Google Scholar]
  20. Patterson M. J., El Batool Hafeez A. Group B streptococci in human disease. Bacteriol Rev. 1976 Sep;40(3):774–792. doi: 10.1128/br.40.3.774-792.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Sarmiento R., Wilson F. M., Khatib R. Group B streptococcal meningitis in adults: case report and review of the literature. Scand J Infect Dis. 1993;25(1):1–6. [PubMed] [Google Scholar]
  22. Schwartz B., Schuchat A., Oxtoby M. J., Cochi S. L., Hightower A., Broome C. V. Invasive group B streptococcal disease in adults. A population-based study in metropolitan Atlanta. JAMA. 1991 Aug 28;266(8):1112–1114. [PubMed] [Google Scholar]
  23. Sepkowitz K. A., Kasemsri T., Brown A. E., Kiehn T. E., Armstrong D. Meningitis due to beta-hemolytic non-A, non-D streptococci among adults at a cancer hospital: report of four cases and review. Clin Infect Dis. 1992 Jan;14(1):92–97. doi: 10.1093/clinids/14.1.92. [DOI] [PubMed] [Google Scholar]
  24. Skogberg K., Simonen H., Renkonen O. V., Valtonen V. V. Beta-haemolytic group A, B, C and G streptococcal septicaemia: a clinical study. Scand J Infect Dis. 1988;20(2):119–125. doi: 10.3109/00365548809032427. [DOI] [PubMed] [Google Scholar]
  25. Snyder R. D., Stovring J., Cushing A. H., Davis L. E., Hardy T. L. Cerebral infarction in childhood bacterial meningitis. J Neurol Neurosurg Psychiatry. 1981 Jul;44(7):581–585. doi: 10.1136/jnnp.44.7.581. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Stringer J., Crees-Morris J. A., Young S. E., Mayon-White R. T. Group B streptococcal systemic disease in Great Britain. J Infect. 1981 Dec;3(4):385–391. doi: 10.1016/s0163-4453(81)92053-3. [DOI] [PubMed] [Google Scholar]
  27. Taft T. A., Chusid M. J., Sty J. R. Cerebral infarction in Hemophilus influenzae type B meningitis. Clin Pediatr (Phila) 1986 Apr;25(4):177–180. doi: 10.1177/000992288602500401. [DOI] [PubMed] [Google Scholar]
  28. Wenger J. D., Hightower A. W., Facklam R. R., Gaventa S., Broome C. V. Bacterial meningitis in the United States, 1986: report of a multistate surveillance study. The Bacterial Meningitis Study Group. J Infect Dis. 1990 Dec;162(6):1316–1323. doi: 10.1093/infdis/162.6.1316. [DOI] [PubMed] [Google Scholar]
  29. Wilkinson H. W. Analysis of group B streptococcal types associated with disease in human infants and adults. J Clin Microbiol. 1978 Feb;7(2):176–179. doi: 10.1128/jcm.7.2.176-179.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Wilkinson H. W., Facklam R. R., Wortham E. C. Distribution by serological type of group B streptococci isolated from a variety of clinical material over a five-year period (with special reference to neonatal sepsis and meningitis). Infect Immun. 1973 Aug;8(2):228–235. doi: 10.1128/iai.8.2.228-235.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Wilson R. S., Davies G. J., Burns-Cox C. J., Speller D. C. Group B streptococcus meningitis in an elderly woman. J Clin Pathol. 1971 Dec;24(9):883–883. doi: 10.1136/jcp.24.9.883. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Wolstan B. J. Group B streptococcal meningitis in adults. Minn Med. 1973 Jul;56(7):631–passim. [PubMed] [Google Scholar]
  33. Yamashima T., Kashihara K., Ikeda K., Kubota T., Yamamoto S. Three phases of cerebral arteriopathy in meningitis: vasospasm and vasodilatation followed by organic stenosis. Neurosurgery. 1985 Apr;16(4):546–553. [PubMed] [Google Scholar]
  34. Zahradnický J., Lukesová M., Kronus R., Jelínková J., Hejda V., Valchová M., Turková S. An unusual case of infection caused by a group B streptococcus. J Hyg Epidemiol Microbiol Immunol. 1972;16(1):21–27. [PubMed] [Google Scholar]

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