[A case report of streptococcus oralis meningitis after dental manipulation].
A 75-year-old man was admitted to our hospital because of high fever and disturbance of consciousness 4 days after dental treatment including scaling, irrigation, and oral antibiotic for dental caries without gingivitis. A lumber puncture revealed cloudy cerebrospinal fluid (CSF): it contained 984 leukocytes/mm3, 680 mg/dl of protein, 5 mg/dl of glucose (blood sugar 233 mg/dl), and Streptococcus oralis, one of common microorganisms on the gingival, was isolated from the CSF. He was successfully treated with intravenous antibiotics. The authors believe this patient's meningitis developed as a result of bacteremia after the dental scaling in the present case.
Honda
Shoji
S
Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital.
Inatomi
Yuichiro
Y
Yonehara
Toshiro
T
Hashimoto
Yoichiro
Y
Hirano
Teruyuki
T
Uchino
Makoto
M
D000368:Aged; D016470:Bacteremia / Q000150:complications*; D003731:Dental Caries / Q000188:drug therapy; D012534:Dental Scaling / Q000009:adverse effects*; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000209:etiology*; D013290:Streptococcal Infections; D019533:Streptococcus oralis