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Streptococcus gallolyticus subsp. pasteurianus meningitis in an infant
Author(s) -
Takahashi Yoshiko,
Ishiwada Naruhiko,
Tanaka Junko,
Okusu Kiyofumi,
Ichimura Sadahiro,
Hishiki Haruka,
Ota Setsuo,
Kohno Yoichi
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12254
Subject(s) - meningitis , streptococcus bovis , microbiology and biotechnology , neonatal meningitis , medicine , biology , gene , genetics , pediatrics , escherichia coli , rumen , food science , fermentation
S treptococcus gallolyticus subsp. pasteurianus was formerly classified as S . bovis biotype II /2, which is recognized as a rare cause of neonatal sepsis and meningitis. Since the taxonomy classification change, there have not been many reports of meningitis due to S . gallolyticus subsp. pasteurianus . Moreover, the pathogenesis of late onset S . gallolyticus subsp. pasteurianus meningitis in infants is unclear. Here we report a case of meningitis in a 5‐week‐old infant with preceding diarrhea. S. bovis biotype II /2 was isolated from the blood, cerebrospinal fluid and stool, and then was identified as S . gallolyticus subsp. pasteurianus on 16 S rRNA gene sequencing. Isolates from all three sample types had identical profiles on pulsed‐field gel electrophoresis. The intestinal tract was thought to be the source of the infection.