title: Streptococcus bovis meningitis in a healthy adult patient.
abstract: We describe the first case in the English language of Streptococcus bovis meningitis in a 45-y-old patient without any underlying disease or predisposing condition. S. bovis biotype II was isolated from his spinal fluid and blood. The illness was community-acquired and was clinically and biologically similar to disease caused by the classical meningeal pathogens. The patient was cured after 10 d of therapy with ceftriaxone and, 2.5 y later, is currently healthy. As a result of this case and a similar case published recently in the Spanish literature we conclude that S. bovis should be considered a microorganism capable of causing meningitis in the absence of any underlying condition or clear focus of infection.
authors.affiliation: Department of Infectious Diseases, Hospital de Bellvitge, University of Barcelona, Spain.
authors.forename: N
authors.initials: N
authors.lastname: Vilarrasa
authors.forename: A
authors.initials: A
authors.lastname: Prats
authors.forename: M
authors.initials: M
authors.lastname: Pujol
authors.forename: A
authors.initials: A
authors.lastname: Gason
authors.forename: P F
authors.initials: PF
authors.lastname: Viladrich
mesh_terms: D000208:Acute Disease; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000382:microbiology; D008875:Middle Aged; D013290:Streptococcal Infections / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000382:microbiology; D016985:Streptococcus bovis / Q000302:isolation & purification*