Meningitis from invasive Streptococcus agalactiae in a healthy young adult

Asseel Al-Bayati; Steven Douedi; Ghadier Alsaoudi; Maurice Mosseri; Safa Albustani; Vandan Upadhyaya; Nancy Gornish; Mohamed Elsawaf

doi:10.1016/j.idcr.2020.e00907

Meningitis from invasive Streptococcus agalactiae in a healthy young adult

IDCases. 2020 Jul 7:21:e00907. doi: 10.1016/j.idcr.2020.e00907. eCollection 2020.

Authors

Asseel Al-Bayati¹, Steven Douedi¹, Ghadier Alsaoudi², Maurice Mosseri^{1

2}, Safa Albustani¹, Vandan Upadhyaya¹, Nancy Gornish³, Mohamed Elsawaf²

Affiliations

¹ Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ 07753, USA.
² Department of Pulmonology and Critical Care, Jersey Shore University Medical Center, Neptune, NJ 07753, USA.
³ Department of Infectious Disease, Jersey Shore University Medical Center, Neptune, NJ 07753, USA.

Abstract

Streptococcus agalactiae is well known to be a potential etiology of bacterial meningitis in neonates. Invasive S. agalactiae has been also reported in nonpregnant adults. Among adults, the incidence of invasive group B Streptococcus (GBS) has been increasing 2-4 times in the past 2 decades. Chronic medical disease was suspected to increase the susceptibility for invasive GBS, especially diabetes mellitus. There was only one case reported to have GBS meningitis from acute otitis media infection in otherwise healthy individual. Hereby, we are reporting the second invasive GBS meningitis from acute otitis media infection with mastoiditis.

Keywords: Acute otitis media; Group B streptococcus; Mastoiditis; Meningitis; Streptococcus agalactiae.

Publication types

Case Reports