Acute Bacterial Meningitis and Systemic Abscesses due to Streptococcus dysgalactiae subsp. equisimilis Infection

Abstract EN

Disseminated abscesses due to group G β-hemolytic Streptococcus dysgalactiae were observed in a 57-year-old cirrhotic patient with the skin being the putative way of entry for the pathogen.

S.

dysgalactiae is a rare agent in human infections responsible for acute pyogenic meningitis.

The mortality rate associated with S.

dysgalactiae bacteraemia and meningitis may be as high as 50%, particularly in the presence of endocarditis or brain abscesses.

In our patient, main sites of infections were meningitis and ventriculitis, spondylodiscitis, septic arthritis, and soft-tissue infections.

In contrast, no endocarditis was evidenced.

Cirrhosis-related immune suppression was considered as a pathophysiological cofactor for the condition.

Fortunately, clinical status improved after long-term (3 months) antimicrobial therapy.