Meningitis fulminante por Streptococcus pyogenes

Q4 Medicine
Carmen Mateo Revilla , Beatriz Santamaría Roqueiro , Tomas Rodríguez Delgado , Ana Manzano Canalaechevarria , Juan José Gómez Sainz , Luciano Aguilera Celorrio
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引用次数: 0

Abstract

Streptococcus pyogenes, or group A Streptococcus, rarely causes bacterial meningitis in adults but has a high mortality rate if untreated. This bacterium has become more aggressive and shows greater invasive capacity, increasing the incidence and severity of infections. These observations have led to the hypothesis of a more virulent strain.

We report the case of a healthy 54-year-old woman with neck pain and rapid neurological and hemodynamic worsening despite appropriate antibiotic and corticosteroid treatment who died 5 hours after admission.

暴发性脑膜炎化脓性链球菌
化脓性链球菌,或A群链球菌,很少引起成人细菌性脑膜炎,但如果不治疗,死亡率很高。这种细菌变得更具侵略性,显示出更大的侵入能力,增加了感染的发生率和严重程度。这些观察结果导致了一种毒性更强的菌株的假设。我们报告一例54岁的健康女性,尽管接受了适当的抗生素和皮质类固醇治疗,但颈部疼痛和神经系统和血液动力学迅速恶化,入院5小时后死亡。
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来源期刊
Gaceta Medica de Bilbao
Gaceta Medica de Bilbao Medicine-Medicine (all)
CiteScore
0.10
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