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Arnold L. Lentnek, MD; Robert Ferguson, MD; Edward Fierer, MD

Arch Neurol. 1978;35(2):114-115.

Abstract
• An elderly man had group B streptococcal meningitis. The infection may have seeded the meninges through a rhinocerebral fistula. Despite the frequency of nasopharyngeal colonization with this organism, reports of adult meningitis secondary to group B Streptococcus are rare; to our knowledge, no previous cases specifically associated with rhinocerebral fistula have been described. Reasons for the discrepancy between the frequency of nasopharyngeal colonization and the rarity of meningitis are suggested.

Author Affiliations
From the Infectious Disease Division, Department of Medicine, Mount Sinai Hospital, Hartford, Conn.

Footnotes
Accepted for publication July 25, 1977.

Reprint requests to Infectious Disease Division, Mount Sinai Hospital, 500 Blue Hills Ave, Hartford, CT 06112 (Dr Lentnek).

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