รายงานผู้ป่วยที่น่าสนใจ Cerebral venous thrombosis in a patient with group B streptococcus meningitis

Authors

  • ภูชิต สุขพัลลภรัตน์ ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์ มหาวิทยาลัยธรรมศาสตร์
  • พรภัทร ธรรมสโรช ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์ มหาวิทยาลัยธรรมศาสตร์

Keywords:

meningitis, group B streptococcus, cerebral venous thrombosis

Abstract

A 32-year-old woman presented with fever, headache and alteration of consciousness. Group B streptococcus meningitis was diagnosed. Day 7 after appropriate antibiotic, she deteriorated. Magnetic resonance imaging and magnetic resonance venography was performed and showed cerebral venous thrombosis and brain swelling. She was treated with antibiotics and anticoagulant, and had clinical recovery afterwards

References

Weisfelt M, van de Beek D, Spanjaard L, et al. Clinical features, complications, and outcome in adults with pneumococcal meningitis: a prospective case series.
Lancet Neurol 2006;5:123-129.

Edwards MS, Backer CJ. Streptococcus agalactiae (Group B Streptococcus). In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas and Bennett’s
Principles and Practice of Infectious Diseases. New York: Churchill Livingstone, 2009:205-50.

Bunyasontigul K, Chongtrakool P, Santanirand P, et al. High Morbidity Associated with Invasive Group B. Streptococcal Disease among Nonpregnant
Adults in Thailand, 1999 to 2009. J Infect Dis Antimicrob Agents 2011;28:169-177.

Cheung CH, Chu WC, Lam HS, et al. Rapid diagnosis of cerebral sinovenous thrombosis complicating group B streptococcus meningitis by multidetector CT
venography. Arch Dis Child Fetal Neonatal Ed 2008;93:F304.

Kastenbauer S, Pfister HW. Pneumococcal meningitis in adults. Spectrum of complications and prognostic factors in a series of 87 cases. Brain 2003;126:1015-1025.

Bozzola E, Bozzola M, Colafati GS, et al. Multiple cerebral sinus thromboses complicating meningococcal meningitis: a pediatric case report. BMC Pediatrics
2014;14:147-150.

Vergouwen MD, Schut ES, Troost D, et al. Diffuse cerebral intravascular coagulation and cerebral infarction in pneumococcal meningitis. Neurocrit Care
2010;13:217-227.

Panicio MI, Foresto RD, Mateus L, et al. Pneumococcal meningitis, cerebral venous thrombosis, and cervical arterial dissection: a run of bad luck?
Neurohospitalist 2013;3:20-23.

Southwick FS, Richardson EP Jr, Swartz MN. Septic thrombosis of the dural venous sinuses. Medicine (Baltimore) 1986;65:82-106.

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Published

2019-02-19

How to Cite

1.
สุขพัลลภรัตน์ ภ, ธรรมสโรช พ. รายงานผู้ป่วยที่น่าสนใจ Cerebral venous thrombosis in a patient with group B streptococcus meningitis. J Thai Stroke Soc [Internet]. 2019 Feb. 19 [cited 2024 Nov. 14];13(1-2):30-5. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/173161