Abstract
A case of group A streptococcal meningitis is reported in a 14-year-old girl with a history of recurrent otitis media. She presented to the emergency room with an altered level of consciousness; the organism was isolated from her spinal fluid and blood. Her course was complicated by a left-sided sinus vein thrombosis with extension to the external jugular vein, which has previously been reported in the literature only once. Streptococcus pyogenes is a common cause of invasive infections, but is a highly uncommon cause of meningitis.
Highlights
Streptococcus pyogenes is a common cause of invasive infections, but is a highly uncommon cause of meningitis
Meningitis and central nervous system disease were seen in 52 cases (1% overall), and significant differences in prevalence were noted between patients younger than 10 years of age and those 10 years of age and older (3% versus 0.7%, respectively) [4]
Meningeal involvement was preceded by a recognized focus of infection. This has been seen in previous case reports and series of group A streptococcus (GAS) meningitis, in both adult and pediatric patients
Summary
A case of group A streptococcal meningitis is reported in a 14-year-old girl with a history of recurrent otitis media. She presented to the emergency room with an altered level of consciousness; the organism was isolated from her spinal fluid and blood. Her course was complicated by a left-sided sinus vein thrombosis with extension to the external jugular vein, which has previously been reported in the literature only once. Streptococcus pyogenes is a common cause of invasive infections, but is a highly uncommon cause of meningitis
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