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Severe Sequelae of Group B Streptococcal (Streptococcus Agalactiae) Meningitis in an 82‐year‐old Man
Author(s) -
Fujihara Kazuo,
Fujioka Yasuhiro,
Ohta Michiya,
Itoyama Yasuto
Publication year - 2001
Publication title -
psychogeriatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.647
H-Index - 32
eISSN - 1479-8301
pISSN - 1346-3500
DOI - 10.1111/j.1479-8301.2001.tb00010.x
Subject(s) - medicine , meningitis , group b , streptococcus agalactiae , status epilepticus , streptococcus , surgery , pediatrics , epilepsy , psychiatry , biology , bacteria , genetics
: Group B Streptococcal (GBS) meningitis is rare in adults, and only 2 cases have been reported in Japan. Here we report GBS meningitis in an 82‐year‐old man. The patient with a history of colon cancer developed a high fever and severe headache, and was taken to our hospital several hours later. On admission he was semi‐comatose, light and corneal reflexes were normal, his neck was only mildly stiff. He was then on a respirator due to status epilepticus. Cerebrospinal fluid examination demonstrated marked pleocytoisis (46,2507/μ1, mostly polymorphonuclear cells) and GBS. With intensive care and antibiotic therapy, he regained consciousness 10 days later. However, he suffered severe dementia, hearing loss, limb muscle atrophy, and urinary retention in the chronic stage of the disease. Although survivors of adult GBS meningitis are reported to be free of severe neurologic sequelae, factors such as being the oldest patient among the reported cases, the premorbid malignancy and the marked inflammation were considered to be related to the severe neurologic sequelae in the present case.