<p>Group B Streptococcal Meningitis in a Healthy Young Woman: A Case Report</p>

Abstract

Group B streptococcus (GBS) is a rare cause of meningitis in adults that commonly affects patients with multiple underlying comorbidities. Although it is uncommon, it typically progresses very rapidly and has a high mortality rate as compared to other causes of bacterial meningitis. Here, we report a patient with GBS meningitis who had no underlying medical illness and presented with multiple episodes of seizure within hours of developing fever. Cerebrospinal fluid analysis results were consistent with bacterial meningitis, and blood cultures grew GBS. She was treated with intravenous ceftriaxone for 2 weeks and made a great recovery without any sequalae. In conclusion, although GBS meningitis is uncommon in adults, it is a serious medical disease and associated with a high mortality rate. To the best of our knowledge, this patient represents one of the few reported cases of GBS meningitis in a previously healthy young adult.

Mania: An atypical presentation of probable Streptococcus agalactiae meningoencephalitis

“…Older patients (above age of 65), and those with comorbidities including diabetes mellitus, liver disease, and immunosuppression have been found to be at a higher risk of acquiring invasive GBS infections and dying from it [10] . However, cases of GBS meningitis have been reported even in previously healthy adults with no risk factors [11] , [12] , [13] , [14] . In some patients, yet undiagnosed genetic abnormalities, might predispose for development of meningitis as seen in a case report of a young healthy adult who developed GBS, and whose family history was significant for recurrent episodes of bacterial meningitis in multiple family members [13] .…”

Case Report: Meningitis in Postpartum

“…Patients with SGB meningitis typically arrive within 24 hours of symptom onset, making it one of the most rapidly progressive forms of bacterial meningitis. 14,15 The incidence of pregnant women with invasive SGB reached 31.58%; the older the pregnant woman, the more at risk of invasive SGB because the body mechanism also decreases. One of the steps to prevent invasive SGB is to vaccinate during pregnancy to protect neonates and pregnant women.…”

Recurrent Meningitis in the Context of an Encephalocele

“…While GBS meningitis accounts for only 1.3% of meningitis cases in adults, it is still possible. Adults with meningitis due to Streptococcus agalactiae tend to be elderly or have a chronic disease such as diabetes mellitus [ 7 ]. Streptococcus pneumoniae remains the most common cause, especially in cases of recurrent meningitis [ 8 ].…”