Purdy R A, Cassidy B, Marrie T J
Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Neurology. 1990 Nov;40(11):1782-4. doi: 10.1212/wnl.40.11.1782.
We describe 2 cases of Streptococcus bovis meningitis and review the 9 cases previously reported. This microorganism is a rare cause of meningitis in which there are no distinctive clinical or laboratory features. The Gram stain of the CSF is usually negative. Ten of the 11 cases had some underlying disease or comorbid condition that predisposed to S bovis infection: gastrointestinal disorder, endocarditis, CSF leak, polymyalgia rheumatica, and mandibular block. Treatment with high-dose penicillin is usually adequate.
我们描述了2例牛链球菌脑膜炎病例，并回顾了此前报道的9例病例。这种微生物是脑膜炎的罕见病因，没有独特的临床或实验室特征。脑脊液的革兰氏染色通常为阴性。11例病例中有10例存在一些易引发牛链球菌感染的基础疾病或合并症：胃肠疾病、心内膜炎、脑脊液漏、风湿性多肌痛和下颌阻滞。大剂量青霉素治疗通常足够。
