Streptococcus oralis Meningitis with Gingival Bleeding in a Patient: A Case Report and Review of the Literature

An 81-year-old man with a history of gingival bleeding presented with a fever, headache, and drowsiness. His mouth and full dentures were unsanitary. Laboratory tests revealed Streptococcus oralis meningitis caused by odontogenic bacteremia. We reviewed eight reported cases, including the present ca...

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Bibliographic Details
Published in:Internal Medicine 2021/03/01, Vol.60(5), pp.789-793
Main Authors: Nakamura, Yuki, Uemura, Tomohiro, Kawata, Yuka, Hirose, Bungo, Yamauchi, Rika, Shimohama, Shun
Format: Article
Language:English
Subjects:
Aged, 80 and over
Bacteremia
Bacteremia - complications
Bacteremia - diagnosis
Bleeding
Case Report
Dentures
Drowsiness
Fever
gingival bleeding
Headache
hematogenous transmission
Humans
Internal medicine
Literature reviews
Male
Meningitis
Meningitis, Bacterial
Mouth
odontogenic bacteremia
poor oral hygiene
Streptococcal Infections - complications
Streptococcal Infections - diagnosis
Streptococcus oralis
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Description
Summary:An 81-year-old man with a history of gingival bleeding presented with a fever, headache, and drowsiness. His mouth and full dentures were unsanitary. Laboratory tests revealed Streptococcus oralis meningitis caused by odontogenic bacteremia. We reviewed eight reported cases, including the present case, because S. oralis meningitis is rare. Our review indicated that S. oralis meningitis needs to be considered when encountering cases of a fever, disturbance of consciousness, and headache with episodes of possible odontogenic bacteremia.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.5628-20