Resident, Department of Internal Medicine, Poona Hospital and Research Centre Pune, Maharashtra, India, Corresponding Author.
Consultant and Intensivist, Department of Internal Medicine, Poona Hospital and Research Centre; Pune, Maharashtra, India.
J Assoc Physicians India. 2024 Oct;72(10):e34-e36. doi: 10.59556/japi.72.0689.
We present a case of Streptococcus iniae causing leptomeningitis, pyocephalus, and subdural empyema in an elderly male from India. There have been only a handful of cases of S. iniae infection reported worldwide, and none of them have been from India. In this case, an elderly diabetic patient presenting with backache, headache, and fever with severe neurological worsening was diagnosed with severe invasive S. iniae infection. He had hydrocephalus that needed ventriculoperitoneal shunting. The patient was treated with a prolonged course of intravenous ampicillin and vancomycin.
我们报告了一例由酿脓链球菌引起的老年男性脑脊膜炎、头痈和硬脑膜下积脓。全球仅有少数几例酿脓链球菌感染病例报告，而且没有一例来自印度。在本例中，一名老年糖尿病患者以背痛、头痛和发热为表现，伴有严重的神经恶化，被诊断为严重侵袭性酿脓链球菌感染。患者并发脑积水，需要行脑室-腹腔分流术。该患者接受了长时间的静脉注射氨苄西林和万古霉素治疗。
