Zappella N, Barrelet A, Pangon B, Laurent V, Bruneel F
Service de réanimation médico-chirurgicale, hôpital Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France.
Ann Fr Anesth Reanim. 2013 Nov;32(11):811-3. doi: 10.1016/j.annfar.2013.08.010. Epub 2013 Oct 23.
We reported a case of group A streptococcal meningitis in a patient with a CSF fluid leak. This case underlined several relevant points: (i) an unfrequent cause of bacterial meningitis; (ii) the main diagnosis to evoke when the direct examination of CSF shows Gram+ cocci with a negative pneumococcal antigen; (iii) that bacteria other than Streptococcus pneumoniae are possible in front of a meningitis associated with a CSF fluif leak.