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Infectious Diseases in Obstetrics and Gynecology
Volume 2, Issue 6, Pages 275-278
http://dx.doi.org/10.1155/S1064744995000172
Obstetrics Case Report

Group B Streptococcus Meningitis Following Elective Termination of Pregnancy: Two Case Reports

Department of Obstetrics and Gynecology, Hutzel Hospital, Wayne State University School of Medicine, 4707 St. Antoine, Detroit 48201, MI, USA

Received 4 October 1994; Accepted 5 January 1995

Copyright © 1995 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.

Abstract

Background: Although maternal group B streptococcus (GBS) infections are common, serious infections are rare with prompt diagnosis and treatment. We present 2 cases of GBS meningitis occurring 3 and 10 days after elective abortion. In the first patient, GBS meningitis was definitely related to the elective termination. In the second patient, however, no evidence for a causal relationship could be established and can only be presumed.

Case: The patients presented to the emergency department with headache, altered mental status, and fever. Their physical examinations were consistent with meningitis and confirmed by cerebrospinal fluid (CSF) analysis. One patient recovered completely and the other developed severe bilateral hearing loss.

Conclusion: GBS meningitis is rare, occurring in men and women. When associated with pregnancy, most cases present within 48–72 h of delivery or abortion.