title: [Acute meningitis caused by Streptococcus agalactiae in adult patient with a spinal fluid fistula].
abstract: 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.
authors.affiliation: Clínica y Maternidad Suizo-Argentina, Buenos Aires, Argentina.
authors.forename: J E
authors.initials: JE
authors.lastname: Roel
authors.forename: A O
authors.initials: AO
authors.lastname: Pí
authors.forename: A
authors.initials: A
authors.lastname: Pescio
authors.forename: G
authors.initials: G
authors.lastname: Bouza
authors.forename: A
authors.initials: A
authors.lastname: Boero
authors.forename: D
authors.initials: D
authors.lastname: González Moles
mesh_terms: 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