TY - JOUR
T1 - Meningitis due to a combination of streptococcus mitis and neisseria subflava
T2 - A case report
AU - Fukumoto, Kana
AU - Manabe, Yasuhiro
AU - Fujiwara, Shunya
AU - Omote, Yoshio
AU - Narai, Hisashi
AU - Yamada, Haruto
AU - Saito, Takashi
AU - Abe, Koji
N1 - Publisher Copyright:
© 2018 The Author(s).
PY - 2018/5/1
Y1 - 2018/5/1
N2 - We report a rare case of meningitis due to a combination of Streptococcus mitis and Neisseria subflava. An 80-year-old female had a 4-year history of type II diabetes mellitus (DM) and an 11-year history of rheumatoid arthritis, which was treated with prednisolone, tacrolimus, and methotrexate. One month after the removal of a dental implant, she complained of a disturbance of consciousness and suffered a convulsion. A cerebrospinal fluid culture was found to be positive for both S. mitis and N. subflava. After 14 days of antibiotic treatment with 4 g/day ceftriaxone, her stiff neck, somnolence, and laboratory data greatly improved, and she was successfully discharged at 27 days after admission. Although both S. mitis and N. subflava are generally considered to be benign bacteria, they can cause meningitis in patients with the following risk factors: Older age, on immunosuppressive treatment, DM, or dental treatment.
AB - We report a rare case of meningitis due to a combination of Streptococcus mitis and Neisseria subflava. An 80-year-old female had a 4-year history of type II diabetes mellitus (DM) and an 11-year history of rheumatoid arthritis, which was treated with prednisolone, tacrolimus, and methotrexate. One month after the removal of a dental implant, she complained of a disturbance of consciousness and suffered a convulsion. A cerebrospinal fluid culture was found to be positive for both S. mitis and N. subflava. After 14 days of antibiotic treatment with 4 g/day ceftriaxone, her stiff neck, somnolence, and laboratory data greatly improved, and she was successfully discharged at 27 days after admission. Although both S. mitis and N. subflava are generally considered to be benign bacteria, they can cause meningitis in patients with the following risk factors: Older age, on immunosuppressive treatment, DM, or dental treatment.
KW - Bacterial meningitis
KW - Compromised host
KW - Neisseria subflava
KW - Streptococcus mitis
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U2 - 10.1159/000490695
DO - 10.1159/000490695
M3 - Article
AN - SCOPUS:85051064227
SN - 1662-680X
VL - 10
SP - 193
EP - 198
JO - Case Reports in Neurology
JF - Case Reports in Neurology
IS - 2
ER -
