title: Group A streptococcal meningitis in a patient with palmoplantar pustulosis.
abstract: A 64-year-old man with a 10-year history of palmoplantar pustulosis, a recent history of cranial surgery and a persistent upper airway infection presented with a high fever and deep coma. The patient was diagnosed with Group A Streptococcal meningitis and promptly treated with antibiotics. Although his general condition recovered well, sensorineural hearing loss and facial palsy remained. Group A Streptococcal meningitis is a rare condition, and its typical clinical picture and epidemiological features remain poorly understood. Physicians need to be more aware of this infection, which is extremely rare but frequently causes various complications and yields a high mortality.
authors.affiliation: Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
authors.forename: Hideharu
authors.initials: H
authors.lastname: Hagiya
authors.forename: Fumio
authors.initials: F
authors.lastname: Otsuka
mesh_terms: D002528:Cerebellar Neoplasms / Q000601:surgery; D005158:Facial Paralysis / Q000209:etiology; D006319:Hearing Loss, Sensorineural / Q000209:etiology; D006391:Hemangioma / Q000601:surgery; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D008875:Middle Aged; D011565:Psoriasis / Q000150:complications*; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D013297:Streptococcus pyogenes