Naslov
Meningitis and endocarditis caused by group B streptococcus in a human immunodeficiency virus (HIV) infected patient

Autori
Čivljak, Rok ; Lisic, Miroslav ; Begovac, Josip ; Maretic, Tomislav ; Planinc, Danijel

Izvornik
Croatian Medical Journal (0353-9504) 42 (2001), 5; 572-575

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad s prikazom bolesnika, stručni

Ključne riječi
Endocarditis; Bacterial; HIV Infections; Streptococcal Infections; Streptococcus agalactiae

Sažetak
We present a case of meningitis and endocarditis caused by Streptococcus agalactiae (group B streptococcus) in an adult patient with human immunodeficiency virus (HIV) infection. To our knowledge, only four other cases of meningitis, none of which had concomitant endocarditis, have been reported so far. A 45-year-old homosexual patient presented with fever, confusion, and signs of meningeal irritation. Streptococcus agalactiae was cultured from the blood, urine, and cerebrospinal fluid (CSF). Diagnosis of meningitis caused by streptococcus agalactiae was made. On day 35, a heart murmur was noticed, and patient developed cardiac decompensation. Echocardiography revealed vegetations on the mitral and aortic valve. After nine weeks of antibiotic treatment, the patient was discharged from the hospital in good general condition, with improved CSF and echocardiographic findings.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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