Deux observations d'infections iatrogènes à streptocoques oraux: méningite et spondylodiscite

Streptococcus Salivarius Acute Meningitis with Latent Petromastoiditis

“…These streptococci may be recovered from cerebrospinal fluid (CSF) cultures in meningitis consecutive to neurosurgical procedures or brain abscesses. To our knowledge, less than 30 cases of Streptococcus salivarius acute meningitis not linked to brain abscesses have been reported in the literature (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). We describe here a further case associated with latent subacute mastoiditis in a patient with a previous history of operated homolateral trigeminal neurinoma, and review the previously reported cases.…”

“…Most reported cases are incidental iatrogenic meningitis, related to medical invasive spine procedures for either diagnostic or therapeutic purposes (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). In these cases, streptococci come from the patient's skin or the operator's endobuccal flora in the absence of adequate aseptic precautions, or may occur as a result of spinal puncture in the event of bacteraemia.…”