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Canadian Journal of Infectious Diseases
Volume 7, Issue 3, Pages 205-207
Case Report

Meningitis in a Canadian Adult due to High Level Penicillin-Resistant, Cefotaxime-Intermediate Streptococcus pneumoniae

Cécile Tremblay, Anne-Marie Bourgault, and Pierre St-Antoine

Service de microbiologie et maladies infectieuses, Hôpital St-Luc et Département de microbiologie et maladies infectieuses, Hôpital Notre-Dame, Montréal, Québec, Canada

Received 16 October 1995; Accepted 13 January 1996

Copyright © 1996 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Invasive penicillin-resistant pneumococcal (PRSP) infections are increasing worldwide. In Canada, the incidence of penicillin resistance among Streptococcus pneumoniae isolates is estimated at greater than 6%. In Quebec, only one case of PRSP meningitis has been reported and involved an infant. An adult patient is described who presented with meningitis caused by high level penicillin-resistant, cefotaxime-intermediate S pneumoniae.