Streptococcus bovis meningitis associated with colonic diverticulosis and hearing impairment: a case report.
A 75-year-old woman presented to the Tropical Diseases Hospital, Goiania, Brazil, with a two-day history of fever and chills followed by headache and vomiting over the last 24 hours. The cerebrospinal fluid (CSF) showed 270 leukocytes/mmc (30 percent neutrophils); 20 red cells/mmc; undetectable levels of glucose and 232 mg/dL of protein. The Gram stain revealed several Gram-positive cocci, and CSF culture yielded Streptococcus bovis. A colonoscopy showed diverticula in descendent and transverse colon. After a 14-day course of penicillin G, the patient was discharged in a good state of health, with only mild hearing impairment.
Tropical Diseases Hospital, Goiania, Goias, Brazil.
C N G
CN
Neves da Silva
R S
RS
Carneiro de Araujo
J A
JA
Araujo Filho
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D043963:Diverticulosis, Colonic / Q000150:complications*; D005260:Female; D034381:Hearing Loss / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D016920:Meningitis, Bacterial / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D010400:Penicillin G / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D016985:Streptococcus bovis / Q000187:drug effects / Q000472:pathogenicity; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D010400:Penicillin G