Revista de neurologia
-
Revista de neurologia · May 2002
Case Reports[Streptococcus bovis meningitis. An infrequent cause of bacterial meningitis in the adult patient].
Bacterial meningitis in adult patients, produced by streptococci other than Streptococcus pneumoniae, is not common. ⋯ In many previously reported cases, there is an association with gastrointestinal illness, endocarditis or oral lesions. Gram staining of the cerebrospinal fluid is usually negative and the neurological signs are often subtle. In the case of bacteraemia, endocarditis or S. bovis meningitis, the presence of an underlying pathology of the colon due to the frequent association between these processes must be ruled out. Treatment with penicillin G is usually sufficient.