An unusual case of Streptococcus agalactiae meningitis in a patient with sys-temic lupus erythematosus

E Protonotariou; A Arampatzi; V Ourailoglou; E Diza; L Skoura

An unusual case of Streptococcus agalactiae meningitis in a patient with sys-temic lupus erythematosus

Hippokratia. 2015 Oct-Dec;19(4):372-373.

Authors

E Protonotariou¹, A Arampatzi¹, V Ourailoglou², E Diza¹, L Skoura¹

Affiliations

¹ Department of Microbiology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
² Department of Anesthesia and Intensive Care Unit, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

PMID: 27703313
PMCID: PMC5033153

Abstract

Background: Streptococcus agalactiae (group B Streptococcus) is a major cause of sepsis and meningitis in neonates and an important cause of invasive disease in adults.

Case description: We describe an unusual case of fatal bacterial meningitis caused by Streptococcus agalactiae in a young man suffering from systemic lupus erythematosus for over 20 years. The young man was transferred intubated in AHEPA University Hospital in a coma; twenty-four hours upon arrival and despite intense invasive treatment, he died from multiple organ failure.

Conclusion: The risk of serious infections in patients with systemic lupus erythematosus even under treatment with moderate doses of corticosteroids is high. Hippokratia 2015; 19 (4):372-373.

Keywords: Streptococcus agalactiae; immunocompromised patient; meningitis; systemic lupus erythematosus.

Publication types

Case Reports