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Meningitis Caused by Streptococcus bovis
Wayne A. Gavryck, MD;
Fred R. Sattler, MD
Arch Neurol. 1982;39(5):307-308.
Abstract
• Streptococcus bovis was isolated from the CSF of a 66-year-old man with meningitis. His clinical appearance was unusual in that he lacked typical signs and symptoms of pyogenic meningitis. Streptococcus bovis was also recovered from his blood, which suggested that bacterial endocarditis was the source of his CNS infection. He was cured after four weeks of therapy with intravenous penicillin G potassium. This is the fourth reported case of meningitis caused by S bovis. The previous three patients also had endocarditis caused by S bovis. Because of the reported propensity of S bovis to infect heart valves and the frequent association of S bovis bacteremia with malignant gastrointestinal (GI) tract tumors, recovery of this organism from CSF should prompt a search for bacterial endocarditis and occult GI cancer.
Author Affiliations
From the Medical Service (Dr Gavryck) and Department of Medicine, Division of Infectious Diseases (Dr Sattler) and Department of Microbiology (Dr Sattler), The Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey. Dr Gavryck is now in private practice in Turner Falls, Mass.
Footnotes
Accepted for publication June 29, 1981.
Reprint requests to Department of Medicine, The Milton S. Hershey Medical Center, 500 University Dr, Hershey, PA 17033 (Dr Sattler).
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