title: [Group A streptococcal meningitis: Streptococcus pneumoniae is not the only one to seep into the CSF fluid leak!].
abstract: We reported a case of group A streptococcal meningitis in a patient with a CSF fluid leak. This case underlined several relevant points: (i) an unfrequent cause of bacterial meningitis; (ii) the main diagnosis to evoke when the direct examination of CSF shows Gram+ cocci with a negative pneumococcal antigen; (iii) that bacteria other than Streptococcus pneumoniae are possible in front of a meningitis associated with a CSF fluif leak.
authors.affiliation: Service de réanimation médico-chirurgicale, hôpital Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France.
authors.forename: N
authors.initials: N
authors.lastname: Zappella
authors.forename: A
authors.initials: A
authors.lastname: Barrelet
authors.forename: B
authors.initials: B
authors.lastname: Pangon
authors.forename: V
authors.initials: V
authors.lastname: Laurent
authors.forename: F
authors.initials: F
authors.lastname: Bruneel
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D065634:Cerebrospinal Fluid Leak; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000382:microbiology*; D011007:Pneumocephalus / Q000150:complications; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology*; D013296:Streptococcus pneumoniae; D013297:Streptococcus pyogenes
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acute otitis media; Brèche ostéoméningée; CSF fluid leak; Group A streptococcus; Meningitis; Méningite; Otite moyenne aiguë; Streptocoque A