[Acute meningitis caused by Streptococcus agalactiae in adult patient with a spinal fluid fistula].
Acute meningitis in adults caused by Streptococcus agalactiae is a rare entity. To our knowledge, there are only two cases associated with a central spinal fluid fistula published in the English literature from 1942 to the present. We report the third case. It was diagnosed in a 60-year-old woman with a twelve-year history of cerebrospinal rhinorrhea after a blunt head trauma. A CT scan of the base of the skull with administration of intrathecal contrast showed a disruption of the posterior and superior aspect of the sphenoid sinus with central spinal fluid leakage.
Roel
J E
JE
Clínica y Maternidad Suizo-Argentina, Buenos Aires, Argentina.
Pí
A O
AO
Pescio
A
A
Bouza
G
G
Boero
A
A
González Moles
D
D
D000208:Acute Disease; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000150:complications*; D006801:Humans; D016920:Meningitis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D008875:Middle Aged; D010254:Paranasal Sinus Diseases / Q000150:complications; D013101:Sphenoid Sinus; D013290:Streptococcal Infections / Q000150:complications*; D013292:Streptococcus agalactiae