Streptococcus bovis Meningitis and Hemorrhoids
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Date
2010
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of clinical microbiology
Abstract
A previously fit 61-year-old woman presented to the hospital
Accident and Emergency Department with a 2-day history of
headache and malaise. Her headache had become rapidly
more intense in the hours preceding admission, waking her
from sleep, and was associated with severe neck stiffness, nausea,
and vomiting.
On examination, she was febrile (38.9°C), tachycardic (heart
rate of 110 beats per min), was clinically mildly dehydrated,
and drowsy, but orientated, and had marked meningism. There
was no rash. There was no focal neurological abnormality, and
fundoscopy was normal. Peripheral blood samples, including
cultures, were taken, and treatment with intravenous (i.v.)
ceftriaxone, acyclovir, and fluids was started. Urgent brain
computed tomography (CT) scanning was normal. A fall in the
patient’s blood pressure to 90/55 mm Hg prompted her transfer
to the hospital’s High Dependency Unit, where a lumbar
puncture was performed.
Description
Keywords
Streptococcus bovis Meningitis, Hemorrhoids
Citation
Smith, Adam Hewitt, et al. "Streptococcus bovis meningitis and hemorrhoids." Journal of clinical microbiology 48.7 (2010): 2654-2655. doi:10.1128/JCM.02396-09