• Internal medicine · Jan 2024

    Case Reports

    A Rare Case of Meningitis Caused by Streptococcus gallolyticus subsp. pasteurianus in an Immunocompetent Young Adult.

    • Naoki Takegami, Shun-Ichi Matsuda, Masaki Iizuka, Nanaka Yamaguchi-Takegami, Tatsushi Toda, and Toshihiro Yoshizawa.
    • Department of Neurology, NTT Medical Center Tokyo, Japan.
    • Intern. Med. 2024 Jan 15; 63 (2): 323326323-326.

    AbstractBacterial meningitis is a life-threatening condition that is mainly caused by Streptococcus pneumoniae and Neisseria meningitis. Although Streptococcus gallolyticus subsp. pasteurianus (Sgp) is also known to cause meningitis, its frequency is quite low, especially in adults. We herein report the first immunocompetent Japanese adult patient (20-year-old woman) with bacterial meningitis caused by Sgp. The patient showed dramatic improvement after antibiotic treatment. Although previous reports have described an association between Sgp infection and an immunosuppressive status, bowel and hepatobiliary diseases, or strongyloidiasis, our case did not demonstrate any of these conditions, suggesting that Sgp can cause meningitis even in young immunocompetent adults.

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