Cervical pregnancy complicated with group B streptococcal meningitis

Sabadell, Jordi; Sánchez-Iglesias, José Luís; Ferrer, Raquel Casesnoves; Higueras, Teresa; Alijotas, J; Cabero, L.

doi:10.1080/14767050701287095

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Adult GBS meningitis usually occurs in patients with underlying conditions [ 9 – 11 ] or in pregnancy and puerperium [ 12 – 15 ]. However, some patients might not have predisposing factors [ 3 – 6 ].…”

Section: Discussionmentioning

confidence: 99%

Streptococcus agalactiaeMeningitis in Adult Patient: A Case Report and Literature Review

Khan

2016

Case Reports in Infectious Diseases

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We report a case of group B streptococcus meningitis in a 72-year-old female patient who was admitted in our hospital with a 21-day history of bilateral lower thigh pain and swelling associated with fever, headache, and vomiting. Her past medical history was remarkable for DM type 2, hypertension, and hypothyroidism. Upon admission, examination showed bilateral warmth and tender soft tissue swelling around the knees and MRI showed cellulitis of distal thirds of both thighs. The next day, the patient became drowsy. Neurologic examination showed neck rigidity and right sided hemiparesis. Cerebrospinal fluid and blood cultures yielded group B streptococcus sensitive to ceftriaxone, penicillin G, and vancomycin. The patient received ceftriaxone for a total of 14 days after which she improved and was discharged from the hospital with right sided weakness.

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Section: Discussionmentioning

confidence: 99%

Streptococcus agalactiaeMeningitis in Adult Patient: A Case Report and Literature Review

Khan

2016

Case Reports in Infectious Diseases

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“…The most common causative microorganisms were S. pneumoniae (25 cases; 60%) and L. monocytogenes (seven cases; 17%) [7][8][9][10][11][12][13][14][15][16][17][18][19]. Pathogens in other cases were Neisseria meningitidis (two), Haemophilus influenzae (one), Group A streptococci (two), Group B streptococci (two), Neisseria gonorrhoea (two) and Pasteurella multocida (one) [20][21][22][23][24][25][26][27][28][29].…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Meningitis due to H. influenzae, group A and B streptococci, has been described in a few case reports only [22][23][24][25][26]. These microorganisms infrequently cause bacterial meningitis in adults and an increased frequency during pregnancy can not be established.…”

Section: CMImentioning

confidence: 99%

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Bacterial meningitis in pregnancy: report of six cases and review of the literature

Adriani

Brouwer

Ende

et al. 2012

Clinical Microbiology and Infection

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Few cases of bacterial meningitis during pregnancy have been reported in the literature, and the causative microorganisms and prognosis of bacterial meningitis during pregnancy are unclear. In a 6-year period we identified six cases of bacterial meningitis in pregnant women. All were multigravida and gestational age at presentation ranged from 5 to 39 weeks. Predisposing factors were present in five patients and consisted of otitis in four patients. The causative organism was Streptococcus pneumoniae in all patients. Two patients died, both due to florid septic shock and brain herniation. Foetal outcome was good in five cases; one woman had a miscarriage 3 weeks after the episode of bacterial meningitis. We reviewed the literature on bacterial meningitis during pregnancy and identified 42 cases of bacterial meningitis. Twenty-five of these patients had pneumococcal meningitis and seven had meningitis caused by L. monocytogenes. We found that pneumococcal meningitis during pregnancy can be rapidly fatal and is associated with foetal death, especially in the first trimester. L. monocytogenes meningitis was associated with a high rate of neonatal deaths.

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