title: Streptococcus sanguinis meningitis following endoscopic ligation for oesophageal variceal haemorrhage.
abstract: We report a case of acute purulent meningitis caused by Streptococcus sanguinis after endoscopic ligation for oesophageal variceal haemorrhage in a cirrhotic patient without preceding symptoms of meningitis. Initial treatment with flomoxef failed. The patient was cured after 20 days of intravenous penicillin G. This uncommon infection due to S. sanguinis adds to the long list of infectious complications among patients with oesophageal variceal haemorrhage.
authors: Department of Laboratory Medicine, Da Chien General Hospital, Miaoli, Taiwan.
authors: Yu-Ting
authors: YT
authors: Liu
authors: Department of Laboratory Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan.
authors: Chin-Fu
authors: CF
authors: Lin
authors: Division of Infectious Diseases, Department of Internal Medicine, Da Chien General Hospital, Miaoli, Taiwan.
authors: Ya-Ling
authors: YL
authors: Lee
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000628:therapy; D004945:Esophagoscopy; D006471:Gastrointestinal Hemorrhage / Q000150:complications* / Q000601:surgery; D006801:Humans; D008026:Ligation; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D016920:Meningitis, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D010400:Penicillin G / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013298:Streptococcus sanguis / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D002443:Ceftriaxone; D010400:Penicillin G; C045693:flomoxef