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Case Reports in Infectious Diseases
Volume 2017 (2017), Article ID 8645859, 4 pages
https://doi.org/10.1155/2017/8645859
Case Report

Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection

1Department of Intensive Care, Cliniques St-Luc, Université Catholique de Louvain, Brussels, Belgium
2Department of Radiology, Neuroradiology Division, Cliniques St-Luc, Université Catholique de Louvain, Brussels, Belgium
3Department of Nuclear Medicine, Cliniques St-Luc, Université Catholique de Louvain, Brussels, Belgium
4Laboratory of Microbiology, Cliniques St-Luc, Université Catholique de Louvain, Brussels, Belgium

Correspondence should be addressed to P. Hantson; eb.niavuolcu@nostnah.eppilihp

Received 20 February 2017; Accepted 11 April 2017; Published 23 April 2017

Academic Editor: Raul Colodner

Copyright © 2017 M. Jourani et al. 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.

Abstract

Disseminated abscesses due to group G β-hemolytic Streptococcus dysgalactiae were observed in a 57-year-old cirrhotic patient with the skin being the putative way of entry for the pathogen. S. dysgalactiae is a rare agent in human infections responsible for acute pyogenic meningitis. The mortality rate associated with S. dysgalactiae bacteraemia and meningitis may be as high as 50%, particularly in the presence of endocarditis or brain abscesses. In our patient, main sites of infections were meningitis and ventriculitis, spondylodiscitis, septic arthritis, and soft-tissue infections. In contrast, no endocarditis was evidenced. Cirrhosis-related immune suppression was considered as a pathophysiological cofactor for the condition. Fortunately, clinical status improved after long-term (3 months) antimicrobial therapy.