Lin H H, Liu Y C, Chiou C C, Cheng D L
Department of Medicine, Veterans General Hospital-Kaohsiung, Taiwan, ROC.
J Formos Med Assoc. 1996 Oct;95(10):802-3.
Meningitis due to group A Streptococcus is uncommon. Only a few cases have been reported in the literature. In this paper, we report a case of a 19-year-old man who presented with fever, headache, nausea, vomiting and a decrease in level of consciousness. Five days prior to admission, he had an episode of acute pharyngitis. Group A Streptococcus was isolated from both the cerebrospinal fluid and blood. He recovered without sequelae after therapy with penicillin G for 2 weeks. Physicians should be aware that group A streptococcal infection may cause meningitis.
A群链球菌引起的脑膜炎并不常见。文献中仅报道过少数病例。在本文中,我们报告一例19岁男性病例,该患者出现发热、头痛、恶心、呕吐及意识水平下降。入院前5天,他曾患急性咽炎。脑脊液和血液中均分离出A群链球菌。经青霉素G治疗2周后,他康复且无后遗症。医生应意识到A群链球菌感染可能会导致脑膜炎。