Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Group B Streptococcal Meningitis Associated With a CSF Fistula

Group B Streptococcal Meningitis Associated With a CSF Fistula Abstract • An elderly man had group B streptococcal meningitis. The infection may have seeded the meninges through a rhinocerebral fistula. Despite the frequency of nasopharyngeal colonization with this organism, reports of adult meningitis secondary to group B Streptococcus are rare; to our knowledge, no previous cases specifically associated with rhinocerebral fistula have been described. Reasons for the discrepancy between the frequency of nasopharyngeal colonization and the rarity of meningitis are suggested. References 1. Patterson MJ, Hafeiz AEB: Group B streptococci in human disease . Bacteriol Rev 40:774-792, 1976. 2. Yow M: Group B streptococci—a serious threat to the newborn . JAMA 230:1177, 1974.Crossref 3. Harper IA: The importance of group B streptococci as human pathogens in the British Isles . J Clin Pathol 24:438-441, 1971.Crossref 4. Eichoff TC, Klein JO, Daly AK, et al: Neonatal sepsis and other infections due to group B beta-hemolytic streptococci . N Engl J Med 271:1221, 1964.Crossref 5. Butler MNW, DeMoor CE: Streptococcus agalactiae as a cause of meningitis in the newborn and of bacteremia in adults . Antonie van Leeuwenhoek 33:439-450, 1967.Crossref 6. Reinarz JA, Sanford JP: Human infections caused by non-group A or D streptococci . Medicine 44:81-98, 1965.Crossref 7. Bayer AS, Chow AW, Bascom FA, et al: Serious infections in adults due to group B streptococci—clinical and serotypic characterization . Am J Med 61:498-503, 1976.Crossref 8. Wolstan BJ: Group B streptococcal meningitis in adults . Minn Med 631-633, 1973. 9. Lerner PI: Meningitis caused by streptococcus in adults . J Infect Dis 131( (suppl) ):S9-S16, 1975.Crossref 10. Duma RJ, Weinberg AN, Medrek TF, et al: Streptococcal infections—a bacteriologic and clinical study of streptococcal bacteremia . Medicine 48:87-127, 1969.Crossref 11. Nicholas WC, Steele CP: Occurrence of groupable beta-hemolytic streptococci: Study among school children in Bismarck, N.D . JAMA 181:197-205, 1962.Crossref 12. Lancefield RC, Hare R: Serologic differentiation of pathogenic and non-pathogenic strains of hemolytic streptococci from parturient women . J Exp Med 61:335, 1935.Crossref 13. Applebaum E: Meningitis following trauma to the head and face . JAMA 173:116-120, 1960. 14. Hand WL, Sanford JP: Posttraumatic bacterial meningitis . Ann Intern Med 72:869-874, 1970.Crossref 15. Brusman R, Hughes JEI, Mount LA: Cerebrospinal fluid rhinorrhea . Arch Neurol 22:245-252, 1970.Crossref 16. Keefer CS, Ingelfinger FJ, Spink WW: Significance of hemolytic streptococcal bacteremia . Arch Intern Med 69:1084-1097, 1937.Crossref 17. Schauf V, Deveikis A, Riffl, et al: Antibiotic-killing kinetics of group B streptococci . J Pediatr 89:194-198, 1976.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Group B Streptococcal Meningitis Associated With a CSF Fistula

Loading next page...
 
/lp/american-medical-association/group-b-streptococcal-meningitis-associated-with-a-csf-fistula-sOHwdwN8NR

References (18)

Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1978.00500260052014
Publisher site
See Article on Publisher Site

Abstract

Abstract • An elderly man had group B streptococcal meningitis. The infection may have seeded the meninges through a rhinocerebral fistula. Despite the frequency of nasopharyngeal colonization with this organism, reports of adult meningitis secondary to group B Streptococcus are rare; to our knowledge, no previous cases specifically associated with rhinocerebral fistula have been described. Reasons for the discrepancy between the frequency of nasopharyngeal colonization and the rarity of meningitis are suggested. References 1. Patterson MJ, Hafeiz AEB: Group B streptococci in human disease . Bacteriol Rev 40:774-792, 1976. 2. Yow M: Group B streptococci—a serious threat to the newborn . JAMA 230:1177, 1974.Crossref 3. Harper IA: The importance of group B streptococci as human pathogens in the British Isles . J Clin Pathol 24:438-441, 1971.Crossref 4. Eichoff TC, Klein JO, Daly AK, et al: Neonatal sepsis and other infections due to group B beta-hemolytic streptococci . N Engl J Med 271:1221, 1964.Crossref 5. Butler MNW, DeMoor CE: Streptococcus agalactiae as a cause of meningitis in the newborn and of bacteremia in adults . Antonie van Leeuwenhoek 33:439-450, 1967.Crossref 6. Reinarz JA, Sanford JP: Human infections caused by non-group A or D streptococci . Medicine 44:81-98, 1965.Crossref 7. Bayer AS, Chow AW, Bascom FA, et al: Serious infections in adults due to group B streptococci—clinical and serotypic characterization . Am J Med 61:498-503, 1976.Crossref 8. Wolstan BJ: Group B streptococcal meningitis in adults . Minn Med 631-633, 1973. 9. Lerner PI: Meningitis caused by streptococcus in adults . J Infect Dis 131( (suppl) ):S9-S16, 1975.Crossref 10. Duma RJ, Weinberg AN, Medrek TF, et al: Streptococcal infections—a bacteriologic and clinical study of streptococcal bacteremia . Medicine 48:87-127, 1969.Crossref 11. Nicholas WC, Steele CP: Occurrence of groupable beta-hemolytic streptococci: Study among school children in Bismarck, N.D . JAMA 181:197-205, 1962.Crossref 12. Lancefield RC, Hare R: Serologic differentiation of pathogenic and non-pathogenic strains of hemolytic streptococci from parturient women . J Exp Med 61:335, 1935.Crossref 13. Applebaum E: Meningitis following trauma to the head and face . JAMA 173:116-120, 1960. 14. Hand WL, Sanford JP: Posttraumatic bacterial meningitis . Ann Intern Med 72:869-874, 1970.Crossref 15. Brusman R, Hughes JEI, Mount LA: Cerebrospinal fluid rhinorrhea . Arch Neurol 22:245-252, 1970.Crossref 16. Keefer CS, Ingelfinger FJ, Spink WW: Significance of hemolytic streptococcal bacteremia . Arch Intern Med 69:1084-1097, 1937.Crossref 17. Schauf V, Deveikis A, Riffl, et al: Antibiotic-killing kinetics of group B streptococci . J Pediatr 89:194-198, 1976.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Feb 1, 1978

There are no references for this article.