Streptococcus gallolyticus subspecies pasteurianus meningitis in an infant: a case report and literature review

J Med Assoc Thai. 2012 Dec;95(12):1606-12.

Abstract

A case of 6-week-old male infant with meningitis and concurrent bacteremia caused by Streptococcus gallolyticus subspecies pasteurianus (Streptococcus bovis biotype 11.2) is presented. The isolates were susceptible to all beta-lactam antibiotics. Nevertheless, delayed defervescence and lack of satisfactory clinical improvement after treatment with multiple beta-lactam antibiotics prompted the combination therapy of vancomycin and penicillin G. The patient completed a 2-week course of antibiotics and recovered uneventfully.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / diagnosis*
  • Drug Therapy, Combination
  • Humans
  • Infant
  • Male
  • Meningitis, Bacterial / diagnosis*
  • Meningitis, Bacterial / drug therapy
  • Meningitis, Bacterial / microbiology*
  • Penicillin G / therapeutic use
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / drug therapy
  • Streptococcus bovis / isolation & purification*
  • Thailand
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Vancomycin
  • Penicillin G