Streptococcus agalactiae Meningitis in an Immunocompetent Adult: A Case Report and Literature Review

Streptococcus agalactiae is a rare cause of meningitis in healthy adults. We herein report a case of culture-negative Streptococcus agalactiae meningitis in a healthy adult which was diagnosed using the FilmArray Meningitis and Encephalitis Panel. A healthy 22-year-old man presented with a fever, he...

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Bibliographic Details
Published in:Internal Medicine 2024/05/01, Vol.63(9), pp.1301-1303
Main Authors: Ide, Ryunosuke, Kubota, Takafumi, Ohtomo, Azusa, Ohtomo, Mizuki, Watanabe, Genya, Tsukita, Kenichi, Suzuki, Yasushi
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Case Report
Case reports
Ceftriaxone
Ceftriaxone - therapeutic use
Cerebrospinal fluid
Dexamethasone
Dexamethasone - therapeutic use
Encephalitis
FilmArray
Humans
Immunocompetence
immunocompetent
Literature reviews
Male
Meningitis
Meningitis, Bacterial - diagnosis
Meningitis, Bacterial - drug therapy
Meningitis, Bacterial - microbiology
PCR
Streptococcal Infections - diagnosis
Streptococcal Infections - drug therapy
Streptococcal Infections - microbiology
Streptococcus agalactiae
Streptococcus agalactiae - isolation & purification
Vancomycin
Vancomycin - therapeutic use
Young Adult
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Summary:Streptococcus agalactiae is a rare cause of meningitis in healthy adults. We herein report a case of culture-negative Streptococcus agalactiae meningitis in a healthy adult which was diagnosed using the FilmArray Meningitis and Encephalitis Panel. A healthy 22-year-old man presented with a fever, headache, and neck stiffness. Despite negative results from blood and cerebrospinal fluid cultures, the diagnosis was confirmed using the FilmArray Meningitis and Encephalitis Panel. The patient was treated with dexamethasone, vancomycin, and ceftriaxone, and thereafter recovered completely. This report highlights the importance of being aware that Streptococcus agalactiae meningitis can occur in healthy individuals, and summarizes these features.
ISSN:0918-2918
1349-7235
1349-7235
DOI:10.2169/internalmedicine.2279-23