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Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant

Streptococcus equi, an equine commensal bacterium, is a rare etiology of septicemia and meningoencephalitis in humans and is extremely infrequent in children. Scarce literature has been published about its clinical presentation, treatment and outcomes in infants. Here, we describe a case of S. equi...

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Autores principales: Sevilla-Acosta, Fabricio, Ballestero-Pernudi, Angela, Jiménez-Cruz, Elisandro, Álvarez-Cabalceta, Hazel, Naranjo-Zuñiga, Gabriela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448576/
https://www.ncbi.nlm.nih.gov/pubmed/34552827
http://dx.doi.org/10.7759/cureus.17286
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author Sevilla-Acosta, Fabricio
Ballestero-Pernudi, Angela
Jiménez-Cruz, Elisandro
Álvarez-Cabalceta, Hazel
Naranjo-Zuñiga, Gabriela
author_facet Sevilla-Acosta, Fabricio
Ballestero-Pernudi, Angela
Jiménez-Cruz, Elisandro
Álvarez-Cabalceta, Hazel
Naranjo-Zuñiga, Gabriela
author_sort Sevilla-Acosta, Fabricio
collection PubMed
description Streptococcus equi, an equine commensal bacterium, is a rare etiology of septicemia and meningoencephalitis in humans and is extremely infrequent in children. Scarce literature has been published about its clinical presentation, treatment and outcomes in infants. Here, we describe a case of S. equi subsp. zooepidemicus septicemia and meningoencephalitis in a five-month-old Costa Rican infant that was confirmed by peripheral blood and cerebrospinal fluid (CSF) cultures in a regional hospital of the Pacific coast of Costa Rica who developed multiple ischemic cerebral infarcts secondary to infectious vasculitis, a subdural empyema and serious neurological sequelae. We also reviewed the literature on S. equi meningitis in infants under one year of age. This is the first reported case in our country, the fourth reported in infants under one year of age and the second describing multiple cerebral infarcts and subdural empyema in an infant.
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spelling pubmed-84485762021-09-21 Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant Sevilla-Acosta, Fabricio Ballestero-Pernudi, Angela Jiménez-Cruz, Elisandro Álvarez-Cabalceta, Hazel Naranjo-Zuñiga, Gabriela Cureus Neurology Streptococcus equi, an equine commensal bacterium, is a rare etiology of septicemia and meningoencephalitis in humans and is extremely infrequent in children. Scarce literature has been published about its clinical presentation, treatment and outcomes in infants. Here, we describe a case of S. equi subsp. zooepidemicus septicemia and meningoencephalitis in a five-month-old Costa Rican infant that was confirmed by peripheral blood and cerebrospinal fluid (CSF) cultures in a regional hospital of the Pacific coast of Costa Rica who developed multiple ischemic cerebral infarcts secondary to infectious vasculitis, a subdural empyema and serious neurological sequelae. We also reviewed the literature on S. equi meningitis in infants under one year of age. This is the first reported case in our country, the fourth reported in infants under one year of age and the second describing multiple cerebral infarcts and subdural empyema in an infant. Cureus 2021-08-18 /pmc/articles/PMC8448576/ /pubmed/34552827 http://dx.doi.org/10.7759/cureus.17286 Text en Copyright © 2021, Sevilla-Acosta et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Sevilla-Acosta, Fabricio
Ballestero-Pernudi, Angela
Jiménez-Cruz, Elisandro
Álvarez-Cabalceta, Hazel
Naranjo-Zuñiga, Gabriela
Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant
title Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant
title_full Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant
title_fullStr Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant
title_full_unstemmed Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant
title_short Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant
title_sort streptococcus equi subspecies zooepidemicus meningitis, septicemia, and brain infarcts in a costa rican infant
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448576/
https://www.ncbi.nlm.nih.gov/pubmed/34552827
http://dx.doi.org/10.7759/cureus.17286
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