title: [Acute bacterial meningitis by Streptococcus agalactiae in a non pregnant woman associated to a cerebrospinal fluid leak: a case report].
abstract: Streptococcus agalactiae is a rare cause of acute bacterial meningitis. We report the case of a middle age non-pregnant female patient, with no comorbitidies, who was hospitalized with acute meningitis. The pathogen was identified both in blood and CSF. She recovered uneventfully with ceftriaxone and dexamethasone. A CSF leak was suspected by previous history of unilateral watery rhinorrhea, that was demonstrated with a high resolution paranasal sinus CT and beta-2 transferrin analysis of the nasal fluid. Vulvovaginitis was also diagnosed after admission, but no cultures were obtained. Streptococcus agalactiae is an infrequent cause of bacterial meningitis that should promote the search of anatomical abnormalities or comorbidities in non-pregnant adults and beyond newborn period.
authors: Bernardita
authors: B
authors: González
authors: Tomás
authors: T
authors: Labatut
authors: Andrés
authors: A
authors: Soto
authors: Alberto
authors: A
authors: Fica
authors: Marcelo
authors: M
authors: Castro
mesh_terms: D000208:Acute Disease; D065634:Cerebrospinal Fluid Leak; D002559:Cerebrospinal Fluid Rhinorrhea / Q000150:complications*; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000382:microbiology*; D008875:Middle Aged; D013290:Streptococcal Infections / Q000134:cerebrospinal fluid / Q000382:microbiology*; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed