Group C streptococcal endocarditis presenting as clinical meningitis: Report of a case and review of the literature
Identifieur interne : 001A31 ( Pmc/Curation ); précédent : 001A30; suivant : 001A32Group C streptococcal endocarditis presenting as clinical meningitis: Report of a case and review of the literature
Auteurs : Allen R. Huang ; Dalius J. BriedisSource :
- The Canadian Journal of Infectious Diseases [ 1180-2332 ] ; 1992.
Abstract
Lancefield group C streptococci are known to be pathogenic in a number of animal species, but cause human disease much less commonly than do streptococci of scrogroups A or B. Reported cases of bacteremic infection, pneumonia or meningitis in humans have been very severe with a grave prognosis. The authors describe a patient who presented with classic clinical and laboratory evidence of bacterial meningitis which proved to be a complication of endocarditis caused by a group C streptococcus. This is the first reported case in which meningitis was the presenting manifestation of group C streptococcal endocarditis and is only the second case in which group C streptococcal meningitis and endocarditis have been associated in the same patient. A total of 13 cases of group C streptococcal meningitis have now been reported in the medical literature. Five of these patients died, and four others recovered only to be left with neurological sequelae. The current case confirms the seriousness of group C streptococcal infections in humans. Such infections are associated with a poor prognosis despite apparently adequate antimicrobial therapy.
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PubMed: 22416199
PubMed Central: 3298073
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Group C streptococcal endocarditis presenting as clinical meningitis: Report of a case and review of the literature</title><author><name sortKey="Huang, Allen R" sort="Huang, Allen R" uniqKey="Huang A" first="Allen R" last="Huang">Allen R. Huang</name></author><author><name sortKey="Briedis, Dalius J" sort="Briedis, Dalius J" uniqKey="Briedis D" first="Dalius J" last="Briedis">Dalius J. Briedis</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22416199</idno><idno type="pmc">3298073</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3298073</idno><idno type="RBID">PMC:3298073</idno><date when="1992">1992</date><idno type="wicri:Area/Pmc/Corpus">001A31</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001A31</idno><idno type="wicri:Area/Pmc/Curation">001A31</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001A31</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Group C streptococcal endocarditis presenting as clinical meningitis: Report of a case and review of the literature</title><author><name sortKey="Huang, Allen R" sort="Huang, Allen R" uniqKey="Huang A" first="Allen R" last="Huang">Allen R. Huang</name></author><author><name sortKey="Briedis, Dalius J" sort="Briedis, Dalius J" uniqKey="Briedis D" first="Dalius J" last="Briedis">Dalius J. Briedis</name></author></analytic><series><title level="j">The Canadian Journal of Infectious Diseases</title><idno type="ISSN">1180-2332</idno><imprint><date when="1992">1992</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Lancefield group C streptococci are known to be pathogenic in a number of animal species, but cause human disease much less commonly than do streptococci of scrogroups A or B. Reported cases of bacteremic infection, pneumonia or meningitis in humans have been very severe with a grave prognosis. The authors describe a patient who presented with classic clinical and laboratory evidence of bacterial meningitis which proved to be a complication of endocarditis caused by a group C streptococcus. This is the first reported case in which meningitis was the presenting manifestation of group C streptococcal endocarditis and is only the second case in which group C streptococcal meningitis and endocarditis have been associated in the same patient. A total of 13 cases of group C streptococcal meningitis have now been reported in the medical literature. Five of these patients died, and four others recovered only to be left with neurological sequelae. The current case confirms the seriousness of group C streptococcal infections in humans. Such infections are associated with a poor prognosis despite apparently adequate antimicrobial therapy.</p></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can J Infect Dis</journal-id><journal-id journal-id-type="publisher-id">PGI</journal-id><journal-title-group><journal-title>The Canadian Journal of Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">1180-2332</issn><publisher><publisher-name>Pulsus Group Inc</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22416199</article-id><article-id pub-id-type="pmc">3298073</article-id><article-id pub-id-type="publisher-id">idmm03247</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Group C streptococcal endocarditis presenting as clinical meningitis: Report of a case and review of the literature</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Huang</surname><given-names>Allen R</given-names></name><degrees>MD, FRCP</degrees></contrib><contrib contrib-type="author"><name><surname>Briedis</surname><given-names>Dalius J</given-names></name><degrees>MD, FRCP</degrees><xref ref-type="corresp" rid="c1-idmm03247"></xref></contrib><aff id="af1-idmm03247">Divisions of Geriatrics and Infectious Diseases, Department of Medicine, Royal Victoria Hospital, McGill University, Montreal, Quebec</aff></contrib-group><author-notes><corresp id="c1-idmm03247">Correspondence and reprints: Dr Dalius J Briedis, Department of Microbiology and Immunology, 3775 University Street, Montreal, Quebec H3A 2B4. Telephone (514) 398-3925, Fax (514) 398-7052</corresp></author-notes><pub-date pub-type="ppub"><season>Sep-Oct</season><year>1992</year></pub-date><volume>3</volume><issue>5</issue><fpage>247</fpage><lpage>252</lpage><history><date date-type="received"><day>22</day><month>2</month><year>1991</year></date><date date-type="accepted"><day>4</day><month>9</month><year>1991</year></date></history><permissions><copyright-statement>©1992 Pulsus Group Inc. All rights reserved</copyright-statement><copyright-year>1992</copyright-year></permissions><abstract><p>Lancefield group C streptococci are known to be pathogenic in a number of animal species, but cause human disease much less commonly than do streptococci of scrogroups A or B. Reported cases of bacteremic infection, pneumonia or meningitis in humans have been very severe with a grave prognosis. The authors describe a patient who presented with classic clinical and laboratory evidence of bacterial meningitis which proved to be a complication of endocarditis caused by a group C streptococcus. This is the first reported case in which meningitis was the presenting manifestation of group C streptococcal endocarditis and is only the second case in which group C streptococcal meningitis and endocarditis have been associated in the same patient. A total of 13 cases of group C streptococcal meningitis have now been reported in the medical literature. Five of these patients died, and four others recovered only to be left with neurological sequelae. The current case confirms the seriousness of group C streptococcal infections in humans. Such infections are associated with a poor prognosis despite apparently adequate antimicrobial therapy.</p></abstract><trans-abstract xml:lang="fr"><title>RÉSUMÉ:</title><p>Les streptocoques Lancefield du groupe C sont connus pour leur pathogénicité chez certaines espèces animales. Ils occasionnent cependant beaucoup moins fréquemment de maladies chez l’homme que les streptocoques des groupes A ou B. Les cas déclarés de bactériémie, de pneumonie ou de méningite chez l’homme ont été très graves et ils s’accompagnaient d’un pronostic sombre. Les auteurs décrivent un patient qui présentait des signes cliniques classiques et des épreuves de laboratoire de méningite bactérienne qui s’est révélée être une complication d’une endocardite à streptocoque du groupe C. Il s’agit du premier cas déclaré de méningite dans le contexte d’une endocardite à streptocoque du groupe C et ce n’est là que le second cas où une méningite et une endocardite à streptocoque du groupe C sont associées chez le même patient. En tout, treize cas de méningite à streptocoque du groupe C ont été rapportés dans la littérature médicale, cinq de ces patients sont décédés, quatre autres ont gardé des séquelles neurologiques. Le cas actuel confirme la gravité des infections aux streptocoques du groupe C chez l’humain. De telles infections sont associées à un pronostic sombre, malgré l’administration d’un traitement antimicrobien apparemment adéquat.</p></trans-abstract><kwd-group><kwd>Endocarditis</kwd><kwd>Group C streptococci</kwd><kwd>Meningitis</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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