Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection

Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection

Disseminated abscesses due to group G β-hemolytic Streptococcus dysgalactiae were observed in a 57-year-old cirrhotic patient with the skin being the putative way of entry for the pathogen. S. dysgalactiae is a rare agent in human infections responsible for acute pyogenic meningitis. The mortality r...

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Main Authors: M. Jourani, T. Duprez, V. Roelants, H. Rodriguez-Villalobos, P. Hantson
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2017/8645859
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spelling doaj-06cce176115c45a4804afedd90ca7e7b2020-11-24T22:44:34ZengHindawi LimitedCase Reports in Infectious Diseases2090-66252090-66332017-01-01201710.1155/2017/86458598645859Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis InfectionM. Jourani0T. Duprez1V. Roelants2H. Rodriguez-Villalobos3P. Hantson4Department of Intensive Care, Cliniques St-Luc, Université Catholique de Louvain, Brussels, BelgiumDepartment of Radiology, Neuroradiology Division, Cliniques St-Luc, Université Catholique de Louvain, Brussels, BelgiumDepartment of Nuclear Medicine, Cliniques St-Luc, Université Catholique de Louvain, Brussels, BelgiumLaboratory of Microbiology, Cliniques St-Luc, Université Catholique de Louvain, Brussels, BelgiumDepartment of Intensive Care, Cliniques St-Luc, Université Catholique de Louvain, Brussels, BelgiumDisseminated abscesses due to group G β-hemolytic Streptococcus dysgalactiae were observed in a 57-year-old cirrhotic patient with the skin being the putative way of entry for the pathogen. S. dysgalactiae is a rare agent in human infections responsible for acute pyogenic meningitis. The mortality rate associated with S. dysgalactiae bacteraemia and meningitis may be as high as 50%, particularly in the presence of endocarditis or brain abscesses. In our patient, main sites of infections were meningitis and ventriculitis, spondylodiscitis, septic arthritis, and soft-tissue infections. In contrast, no endocarditis was evidenced. Cirrhosis-related immune suppression was considered as a pathophysiological cofactor for the condition. Fortunately, clinical status improved after long-term (3 months) antimicrobial therapy.http://dx.doi.org/10.1155/2017/8645859
collection DOAJ
language English
format Article
sources DOAJ
author M. Jourani
T. Duprez
V. Roelants
H. Rodriguez-Villalobos
P. Hantson
spellingShingle M. Jourani
T. Duprez
V. Roelants
H. Rodriguez-Villalobos
P. Hantson
Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection
Case Reports in Infectious Diseases
author_facet M. Jourani
T. Duprez
V. Roelants
H. Rodriguez-Villalobos
P. Hantson
author_sort M. Jourani
title Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection
title_short Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection
title_full Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection
title_fullStr Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection
title_full_unstemmed Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection
title_sort acute bacterial meningitis and systemic abscesses due to streptococcus dysgalactiae subsp. equisimilis infection
publisher Hindawi Limited
series Case Reports in Infectious Diseases
issn 2090-6625
2090-6633
publishDate 2017-01-01
description Disseminated abscesses due to group G β-hemolytic Streptococcus dysgalactiae were observed in a 57-year-old cirrhotic patient with the skin being the putative way of entry for the pathogen. S. dysgalactiae is a rare agent in human infections responsible for acute pyogenic meningitis. The mortality rate associated with S. dysgalactiae bacteraemia and meningitis may be as high as 50%, particularly in the presence of endocarditis or brain abscesses. In our patient, main sites of infections were meningitis and ventriculitis, spondylodiscitis, septic arthritis, and soft-tissue infections. In contrast, no endocarditis was evidenced. Cirrhosis-related immune suppression was considered as a pathophysiological cofactor for the condition. Fortunately, clinical status improved after long-term (3 months) antimicrobial therapy.
url http://dx.doi.org/10.1155/2017/8645859
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AT tduprez acutebacterialmeningitisandsystemicabscessesduetostreptococcusdysgalactiaesubspequisimilisinfection
AT vroelants acutebacterialmeningitisandsystemicabscessesduetostreptococcusdysgalactiaesubspequisimilisinfection
AT hrodriguezvillalobos acutebacterialmeningitisandsystemicabscessesduetostreptococcusdysgalactiaesubspequisimilisinfection
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