Streptococcus gallolyticus subspecies pasteurianus Meningitis in an Infant: A Case Report and Literature Review
Warunee Punpanich MD, PhD*,**, Anurak Munsrichoom BSc, MSc***, Surang Dejsirilert MSc****
Affiliation : * Department of Pediatrics, Queen Sirikit National Institute of Child Health, Bangkok, Thailand ** College of Medicine, Rangsit University, Bangkok, Thailand *** Division of Microbiology, Queen Sirikit National Institute of Child Health, Bangkok, Thailand **** National Institute of Health, Department of Medical Sciences, Nonthaburi, Thailand
A case of 6-week-old male infant with meningitis and concurrent bacteremia caused by Streptococcus gallolyticus subspecies pasteurianus (Streptococcus bovis biotype II.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.
Keywords : Streptococcus gallolyticus subspecies pasteurianus, S. bovis, Meningitis, Infants, Case report
