title: Human meningitis from Streptococcus equi subsp. zooepidemicus acquired as zoonoses.
abstract: Streptococcus equi subsp. zooepidemicus rarely causes meningitis in humans by contact with domestic animals or their unpasteurized products. In this paper we reviewed the literature pertaining to the epidemiological and clinical aspects relating to this infection on previously reported cases of human disease. Additionally, the case of a 51-year-old female who acquired meningitis with this organism after contact with a horse is described. This patient was successfully treated with ceftriaxone, yet penicillin remains the treatment of choice. This aetiological agent should be considered in the proper epidemiological context.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. mincesL2@upmc.edu
authors.forename: L R
authors.initials: LR
authors.lastname: Minces
authors.forename: P J
authors.initials: PJ
authors.lastname: Brown
authors.forename: P J
authors.initials: PJ
authors.lastname: Veldkamp
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002443:Ceftriaxone / Q000008:administration & dosage; D005260:Female; D006736:Horses; D006801:Humans; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology; D008875:Middle Aged; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology; D018502:Streptococcus equi / Q000302:isolation & purification*; D016896:Treatment Outcome; D015047:Zoonoses / Q000453:epidemiology* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone