Recurrent Pneumococcal bacteraemia and meningitis in an asplenic adult with possible unusual focus.
An unusual case of a dental infection leading to osteitis of the mandible and possibly to 4 episodes of invasive pneumococcal disease in an asplenic adult is presented. The patient had 2 episodes of pneumococcal meningitis with bacteraemia and 2 episodes of bacteraemia without meningitis during a 1-y period. Investigations using bone and leukocyte scintigraphy revealed only a focal uptake in the right mandibular bone. The pneumococcal strains isolated during the 4 episodes were all serotype 23F, and fully susceptible to penicillin.
Kragsbjerg
P
P
Department of Internal Medicine, Orebro Medical Center Hospital, Sweden. peter.kragsbjerg@orebroll.se
Rydman
H
H
D000328:Adult; D016470:Bacteremia / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008334:Mandible; D008586:Meningitis, Pneumococcal / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D010000:Osteitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D011877:Radionuclide Imaging; D012008:Recurrence; D012390:Root Canal Therapy / Q000009:adverse effects*; D013154:Spleen / Q000002:abnormalities*