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Group B Streptococcal Meningitis in a Healthy Young Woman: A Case Report

Authors Payus AO, Clarence C, Azman Ali R

Received 19 August 2020

Accepted for publication 11 September 2020

Published 14 October 2020 Volume 2020:13 Pages 861—864

DOI https://doi.org/10.2147/IJGM.S277394

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Video abstract presented by Alvin Oliver Payus.

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Alvin Oliver Payus,1 Clarita Clarence,2 Raymond Azman Ali2

1Faculty of Medicine and Health Science, Universiti Malaysia Sabah (UMS), Sabah, Malaysia; 2Department of Internal Medicine, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia

Correspondence: Alvin Oliver Payus
Faculty of Medicine and Health Science, Universiti Malaysia Sabah, Jalan UMS, 88400 Kota Kinabalu, Sabah, Malaysia
Tel +6018-8703503
Fax +6088-320 000
Email dralvinpayus@ums.edu.my

Abstract: Group B streptococcus (GBS) is a rare cause of meningitis in adults that commonly affects patients with multiple underlying comorbidities. Although it is uncommon, it typically progresses very rapidly and has a high mortality rate as compared to other causes of bacterial meningitis. Here, we report a patient with GBS meningitis who had no underlying medical illness and presented with multiple episodes of seizure within hours of developing fever. Cerebrospinal fluid analysis results were consistent with bacterial meningitis, and blood cultures grew GBS. She was treated with intravenous ceftriaxone for 2 weeks and made a great recovery without any sequalae. In conclusion, although GBS meningitis is uncommon in adults, it is a serious medical disease and associated with a high mortality rate. To the best of our knowledge, this patient represents one of the few reported cases of GBS meningitis in a previously healthy young adult.

Keywords: group B streptococcus, meningitis, young adult, seizure, ceftriaxone

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