Ventriculitis unexpectedly complicating neonatal meningitis caused by Streptococcus gallolyticus subsp. pasteurianus: a case report.

Ventriculitis unexpectedly complicating neonatal meningitis caused by Streptococcus gallolyticus subsp. pasteurianus: a case report. Jpn J Infect Dis. 2017 Dec 26;: Authors: Yamamura Y, Mihara Y, Nakatani K, Nishiguchi T, Ikebe T Abstract Streptococcus gallolyticus subsp. pasteurianus, previously recognized as S. bovis biotype II/2, is an uncommon but important cause of invasive infection in young infants. Here, we report the first case of ventriculitis unexpectedly found in the course of neonatal meningitis due to S. gallolyticus subsp. pasteurianus and review the literature. A 28-day-old Japanese boy presented with fever, lethargy, and irritability. S. bovis was isolated from blood and the cerebrospinal fluid culture and then was identified as S. gallolyticus subsp. pasteurianus. Intravenous antibiotic therapy was started, the clinical course showed improvement, however, he was found to complicate with ventriculitis diagnosed by follow-up Magnetic resonance imaging (MRI) on day 12 of hospitalization. Ampicillin was administered for 21 days and discontinued when the MRI finding showed improvement. The patient was discharged without sequelae. Ventriculitis is a rare complication of childhood meningitis due to S. gallolyticus subsp. pasteurianus, but may have been underdiagnosed especially in the case with no specific manifestation like the present case. It is suggested to perform MRI to screen for ventriculitis in the course of menin...
Source: Japanese Journal of Infectious Diseases - Category: Infectious Diseases Authors: Tags: Jpn J Infect Dis Source Type: research