A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis

Bacterial meningitis in infants is a life-threatening illness that survives significant neurological sequelae that remain in survivors. The current diagnostic gold standard for meningitis is bacterial isolation from culture or molecular diagnostics in the cerebrospinal fluid. The decision for antibi...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-11, Vol.14 (11), p.e31138
Main Authors: Chida, Rie, Morichi, Shinichiro, Watanabe, Yusuke, Yamanaka, Gaku
Format: Article
Language:English
Subjects:
Adenoviruses
Antibiotics
Bacteria
Bacterial infections
Case reports
Cerebrospinal fluid
Diagnostic tests
Feces
Fever
Gastroenteritis
Glucose
Heart rate
Immunoglobulins
Infections
Infectious Disease
Laboratories
Magnetic resonance imaging
Meningitis
Neurology
Patients
Pediatrics
Proteins
Streptococcus infections
Vagina
Viral infections
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Summary:Bacterial meningitis in infants is a life-threatening illness that survives significant neurological sequelae that remain in survivors. The current diagnostic gold standard for meningitis is bacterial isolation from culture or molecular diagnostics in the cerebrospinal fluid. The decision for antibiotics therapy before bacterial detection is made on microscopic and biochemical findings in the cerebrospinal fluid, however, some patient shows no microscopic finding and pleocytosis at the initial cerebrospinal fluid analysis. Herein, we report a case of late-onset group B serotype Ib meningitis that could be introduced with timelier antibiotic therapy even in the absence of pleocytosis without the detection of bacteria on smear at the initial CSF analysis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.31138