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A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis
Bacterial meningitis in infants is a life-threatening illness that survives significant neurological sequelae that remain in survivors. The current diagnostic gold standard for meningitis is bacterial isolation from culture or molecular diagnostics in the cerebrospinal fluid. The decision for antibi...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9722500/ https://www.ncbi.nlm.nih.gov/pubmed/36479407 http://dx.doi.org/10.7759/cureus.31138 |
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author | Chida, Rie Morichi, Shinichiro Watanabe, Yusuke Yamanaka, Gaku |
author_facet | Chida, Rie Morichi, Shinichiro Watanabe, Yusuke Yamanaka, Gaku |
author_sort | Chida, Rie |
collection | PubMed |
description | Bacterial meningitis in infants is a life-threatening illness that survives significant neurological sequelae that remain in survivors. The current diagnostic gold standard for meningitis is bacterial isolation from culture or molecular diagnostics in the cerebrospinal fluid. The decision for antibiotics therapy before bacterial detection is made on microscopic and biochemical findings in the cerebrospinal fluid, however, some patient shows no microscopic finding and pleocytosis at the initial cerebrospinal fluid analysis. Herein, we report a case of late-onset group B Streptococcus serotype Ib meningitis that could be introduced with timelier antibiotic therapy even in the absence of pleocytosis without the detection of bacteria on smear at the initial CSF analysis. |
format | Online Article Text |
id | pubmed-9722500 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-97225002022-12-06 A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis Chida, Rie Morichi, Shinichiro Watanabe, Yusuke Yamanaka, Gaku Cureus Neurology Bacterial meningitis in infants is a life-threatening illness that survives significant neurological sequelae that remain in survivors. The current diagnostic gold standard for meningitis is bacterial isolation from culture or molecular diagnostics in the cerebrospinal fluid. The decision for antibiotics therapy before bacterial detection is made on microscopic and biochemical findings in the cerebrospinal fluid, however, some patient shows no microscopic finding and pleocytosis at the initial cerebrospinal fluid analysis. Herein, we report a case of late-onset group B Streptococcus serotype Ib meningitis that could be introduced with timelier antibiotic therapy even in the absence of pleocytosis without the detection of bacteria on smear at the initial CSF analysis. Cureus 2022-11-05 /pmc/articles/PMC9722500/ /pubmed/36479407 http://dx.doi.org/10.7759/cureus.31138 Text en Copyright © 2022, Chida 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 Chida, Rie Morichi, Shinichiro Watanabe, Yusuke Yamanaka, Gaku A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis |
title | A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis |
title_full | A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis |
title_fullStr | A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis |
title_full_unstemmed | A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis |
title_short | A Case of Late-Onset Group B Streptococcus Serotype Ⅰb Meningitis With Absence of Pleocytosis at the Initial Cerebrospinal Fluid Analysis |
title_sort | case of late-onset group b streptococcus serotype ⅰb meningitis with absence of pleocytosis at the initial cerebrospinal fluid analysis |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9722500/ https://www.ncbi.nlm.nih.gov/pubmed/36479407 http://dx.doi.org/10.7759/cureus.31138 |
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