title: Streptococcus gallolyticus (bovis): a rare presentation of meningitis in the ED.
abstract: Bacterial meningitis is a fairly common and often deadly manifestation of altered mental status in the elderly, carrying a mortality rate of greater than 20% despite antibiotic therapy. Most commonly caused by Streptococcus pneumoniae, Listeria monocytogenes, Escherichia coli, and Klebsiella pneumoniae. We present a case of meningitis caused by Streptococcus gallolyticus in an elderly, otherwise healthy woman. There have been no reports in the emergency medicine literature and only a few reports in the literature of S gallolyticus as a cause of altered mental status and meningitis, specifically of immunocompetent patients.
authors.affiliation: Department of Emergency Medicine, Geisinger Medical Center, 100 N. Academy Ave, Danville, PA, 17822.
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Gray
authors.affiliation: Department of Emergency Medicine, Geisinger Medical Center, 100 N. Academy Ave, Danville, PA, 17822.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Wilson
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013291:Streptococcus / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents