Streptococcus bovis meningitis in a healthy adult patient.
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.
Vilarrasa
N
N
Department of Infectious Diseases, Hospital de Bellvitge, University of Barcelona, Spain.
Prats
A
A
Pujol
M
M
Gason
A
A
Viladrich
P F
PF
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*