title: The first documented case of hemorrhagic stroke caused by Group B streptococcal meningitis.
abstract: We report the case of a 47 year-old female with Streptococcus agalactiae (Group B beta-hemolytic streptococcus) meningitis complicated by hemorrhagic stroke. The patient presented to the emergency department with altered mental status, agitation, confusion, respiratory distress and fever of one-day duration. Labs showed left shift leukocytosis. CSF exhibited a high white blood cell count with a predominant population of polymononuclear cells, high glucose and protein concentration. CSF cultures grew S. agalactiae. Despite appropriate antimicrobial treatment, her mental status did not improve and head CT showed two hemorrhages, diffuse cerebral edema and a right to left midline shift. After completing the course of her therapy, her mental status improved and the patient was discharged.
authors.affiliation: Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY, United States.
authors.forename: Beenish
authors.initials: B
authors.lastname: Siddiqui
authors.affiliation: Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY, United States.
authors.forename: Marie
authors.initials: M
authors.lastname: Chevenon
authors.affiliation: Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY, United States.
authors.forename: Minesh
authors.initials: M
authors.lastname: Nandi
authors.affiliation: Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY, United States.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Chaucer
authors.affiliation: Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY, United States.
authors.forename: Wahib
authors.initials: W
authors.lastname: Zafar
authors.affiliation: Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY, United States.
authors.forename: Jay
authors.initials: J
authors.lastname: Nfonoyim
keywords: Bacterial meningitis; Complications; Group B streptococcus; Hemorrhagic stroke; Nonpregnant; Streptococcus agalactiae