[Meningitis due to Streptococcus bovis type II].
Meningitis due to Streptococcus bovis is rare. Only 14 cases having been reported in the English literature. All patients (including the patient described) had an underlying disease or were treated by pharmacological agents that predisposed the patient to the infection. Most were treated by monotherapy with penicillin G (or amoxicillin) and recovered. We describe a 74-year-old woman who had splenectomy as treatment for hairy cell leukemia 6 months before hospitalization for meningitis and sepsis by S. bovis type II. She was successfully treated with intravenous amoxicillin. There was neither evidence of endocarditis nor carcinoma of the colon. Although the association between S. bovis meningitis and endocarditis or carcinoma of the gastrointestinal tract is not well established, we recommend a full work-up for GI malignancy and endocarditis in every patient with S. bovis meningitis.
Dept. of Medicine B, Kaplan Hospital, Rehovot.
A
A
Ben-Ami
G
G
Gandelman
D
D
Ergaz
Z
Z
Shtoeger
D000368:Aged; D000658:Amoxicillin / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D007943:Leukemia, Hairy Cell / Q000601:surgery; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy*; D010406:Penicillins / Q000008:administration & dosage / Q000627:therapeutic use*; D013156:Splenectomy; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy*; D016985:Streptococcus bovis
D010406:Penicillins; D000658:Amoxicillin