Blanco P, Viallard J F, Ellie E, Denisi R, Stoll M, Pellegrin J L, Leng B
Service de médecine interne et maladies infectieuses, centre François-Magendie, hôpital du Haut-Léveque, Pessac, France.
Rev Med Interne. 1999 Aug;20(8):701-4. doi: 10.1016/s0248-8663(99)80491-3.
Group B streptococcal meningitis is unusual in adults. It occurs in patients with a chronic disease.
We report a case of group B streptococcal meningitis that occurred in a 32-year-old woman, uncovering inner ear congenital malformation associated with cerebrospinal fluid fistula. There was no recurrent episode of meningitis during a 2-year period following surgical correction of the malformation.
Clinical signs suggesting cerebrospinal fluid fistula should be considered in any adult patient with severe group B streptococcal infection.