Streptococcus oralis Meningitis
  • João Cruz Cardoso
    Internal Medicine Department, Hospital de Santarém EPE, Santarém, Portugal
  • David Ferreira
    Internal Medicine Department, Centro Hospitalar Médio Tejo EPE, Abrantes, Portugal
  • Rui Assis
    Critical Care Medicine Department, Centro Hospitalar Médio Tejo EPE, Abrantes, Portugal
  • Joana Monteiro
    Critical Care Medicine Department, Centro Hospitalar Médio Tejo EPE, Abrantes, Portugal
  • Inês Coelho
    Critical Care Medicine Department, Centro Hospitalar Médio Tejo EPE, Abrantes, Portugal
  • André Real
    Critical Care Medicine Department, Centro Hospitalar Médio Tejo EPE, Abrantes, Portugal
  • Nuno Catorze
    Critical Care Medicine Department, Centro Hospitalar Médio Tejo EPE, Abrantes, Portugal

Keywords

Streptococcus oralis, meningitis, oral hygiene

Abstract

Streptococcus oralis is part of the normal flora of the oropharyngeal, nasal, gastrointestinal and genitourinary tracts. Classically, it shows low pathogenicity and virulence, but can very rarely cause meningitis in patients who have undergone dental procedures and have poor oral hygiene.
The purpose of this report is to highlight the importance of considering S. oralis as a cause of meningitis in patients with poor oral hygiene.
A 53-year-old man was admitted to the emergency department with high fever (39.4°C), headache and drowsiness. His mouth was unhygienic. He was diagnosed with meningitis and empiric antibiotics (ceftriaxone plus ampicillin) and dexamethasone were started. S. oralis was isolated from cerebrospinal fluid. Ampicillin and dexamethasone were stopped, while ceftriaxone was continued with full recovery of the patient.

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References

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    Published: 2021-05-07
    Issue: 2021: Vol 8 No 5 (view)

    How to cite:
    1.
    Cardoso J, Ferreira D, Assis R, Monteiro J, Coelho I, Real A, Catorze N. Streptococcus oralis Meningitis. EJCRIM 2021;8 doi:10.12890/2021_002349.

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