• N Vilarrasa, A Prats, M Pujol, A Gason, and P F Viladrich.
• Department of Infectious Diseases, Hospital de Bellvitge, University of Barcelona, Spain.
• Scand. J. Infect. Dis. 2002 Jan 1;34(1):61-2.

AbstractWe describe the first case in the English language of Streptococcus bovis meningitis in a 45-y-old patient without any underlying disease or predisposing condition. S. bovis biotype II was isolated from his spinal fluid and blood. The illness was community-acquired and was clinically and biologically similar to disease caused by the classical meningeal pathogens. The patient was cured after 10 d of therapy with ceftriaxone and, 2.5 y later, is currently healthy. As a result of this case and a similar case published recently in the Spanish literature we conclude that S. bovis should be considered a microorganism capable of causing meningitis in the absence of any underlying condition or clear focus of infection.

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