Puerperal meningitis by group B streptococcus

• Published in: Medicina clinica Vol. 142; no. 3; p. 116
• Main Authors: Moreno Selva, Rocío de los Llanos, Ruiz Sánchez, María Esther, Losa Pajares, Elena María, Gil Martínez-Acacio, Leyre, Galán Ros, Jorge, González de Merlo, Gaspar
• Format: Journal Article
• Language: Spanish
• Published: Spain 04.02.2014
• Subjects: Adult; Amoxicillin - therapeutic use; Ceftriaxone - therapeutic use; Dexamethasone - therapeutic use; Diagnosis, Differential; Early Diagnosis; Female; Humans; Meningitis, Bacterial - diagnosis; Meningitis, Bacterial - drug therapy; Meningitis, Bacterial - microbiology; Pregnancy; Puerperal Disorders - diagnosis; Puerperal Disorders - drug therapy; Puerperal Disorders - microbiology; Streptococcal Infections - diagnosis; Streptococcal Infections - drug therapy; Streptococcal Infections - microbiology; Streptococcus agalactiae - isolation & purification; Vancomycin - therapeutic use; Meningitis; Streptococcus agalactiae; Infección puerperal; Puerperal infection
• ISSN: 1578-8989
• DOI: 10.1016/j.medcli.2013.10.016

To describe an unusual clinical presentation of puerperal meningitis by Streptococcus agalactiae (S. agalactiae). We report a case of puerperal meningitis for S. agalactiae, a rare form of infection in a healthy puerperal and with an atypical presentation. We deeply report the clinical case, the procedures performed to exclude other diseases and management differences. It is compared with meningitis cases reported in the literature, and as in these, we opt for and early diagnosis and a rapid onset of antibiotic treatment. Meningitis caused by S. agalactiae is not a frequent complication in the postpartum period, that requires early diagnosis and treatment of which depends the patient's prognosis.