J Med Assoc Thai 2002; 85 (3):385

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Streptococcus agalactiae Meningitis in Adults: Report of Two Cases
Chotmongkol V Mail, Poonsriaram Ar

Two cases of
Streptococcus agalactiae
meningitis in adults are reported. The first patient
was a 40-year-old man who presented with acute fever, headache, stiffness of the neck and confusion.
During treatment, he developed left hemiparesis from cerebral infarction and bilateral deafness. The
other was an 80-year-old man who presented with acute confusion and stiffness of the neck. During
treatment, he developed septic shock and generalized tonic-clonic convulsions. Diagnosis was esta-
blished by latex agglutination of streptococcus B-antigen and confirmed by cerebrospinal fluid-culture
later on. The first patient survived but continued to have deafness whilst the other died from septic
shock.
Key word :
Streptococcus agalactiae,
Meningitis, Adults

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