An unusual case of Streptococcus agalactiae meningitis in a patient with sys-temic lupus erythematosus
- PMID: 27703313
- PMCID: PMC5033153
An unusual case of Streptococcus agalactiae meningitis in a patient with sys-temic lupus erythematosus
Abstract
Background: Streptococcus agalactiae (group B Streptococcus) is a major cause of sepsis and meningitis in neonates and an important cause of invasive disease in adults.
Case description: We describe an unusual case of fatal bacterial meningitis caused by Streptococcus agalactiae in a young man suffering from systemic lupus erythematosus for over 20 years. The young man was transferred intubated in AHEPA University Hospital in a coma; twenty-four hours upon arrival and despite intense invasive treatment, he died from multiple organ failure.
Conclusion: The risk of serious infections in patients with systemic lupus erythematosus even under treatment with moderate doses of corticosteroids is high. Hippokratia 2015; 19 (4):372-373.
Keywords: Streptococcus agalactiae; immunocompromised patient; meningitis; systemic lupus erythematosus.
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References
-
- Lamagni TL, Keshishian C, Efstratiou A, Guy R, Henderson KL, Broughton K, et al. Emerging trends in the epidemiology of invasive group B streptococcal disease in England and Wales, 1991-2010. Clin Infect Dis. 2013;57:682–688. - PubMed
-
- Le Doare K, Heath PT. An overview of global GBS epidemiology. Vaccine. 2013;31 Suppl 4:D7– D12. - PubMed
-
- Esposito S, Bosis S, Semino M, Rigante D. Infections and systemic lupus erythematosus. Eur J Clin Microbiol Infect Dis. 2014;33:1467–1475. - PubMed
-
- Vargas PJ, King G, Navarra SV. Central nervous system infection in Filippino patients with systemic lupus erythematosus. Int J Rheum Dis. 2009;12:234–238. - PubMed
-
- Hung JJ, Ou LS, Lee WI, Huang JL. Central nervous system infections in patients with systemic lupus erythematosus. J Rheumatol. 2005;32:40–43. - PubMed
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