Lentnek A L, Ferguson R, Fierer E
Arch Neurol. 1978 Feb;35(2):114-5. doi: 10.1001/archneur.1978.00500260052014.
An elderly man had group B streptococcal meningitis. The infection may have seeded the meninges through a rhinocerebral fistula. Despite the frequency of nasopharyngeal colonization with this organism, reports of adult meningitis secondary to group B Streptococcus are rare; to our knowledge, no previous cases specifically associated with rhinocerebral fistula have been described. Reasons for the discrepancy between the frequency of nasopharyngeal colonization and the rarity of meningitis are suggested.
一名老年男性患有B组链球菌性脑膜炎。感染可能通过鼻脑瘘播散至脑膜。尽管该病原体在鼻咽部定植很常见，但成人继发于B组链球菌的脑膜炎报告却很少见；据我们所知，此前尚无与鼻脑瘘具体相关的病例报道。文中提出了鼻咽部定植频率与脑膜炎罕见性之间差异的原因。
