Rezan HARMAN, Dilara İNAN, Feryal ÖZTÜRK, Özge TURHAN, Ata Nevzat YALÇIN

Yetişkin bir hastada Streptococcus agalactiae menenjiti

Streptococcus agalactiae günümüzde gebe olmayan yetişkin yaş grubunda da sıklıkla invaziv infeksiyon etkeni olarak karşımıza çıkabilmektedir. S.agalactiae menenjiti yetişkinlerde nadirdir ve predispozan faktörü olan hastalarda görülebilmektedir. Bu yazıda, kliniğimize akut menenjit tanısıyla yatırılan, altmış beş yaşında ve kronik böbrek yetmezliği öyküsü bulunan, beyin omurilik sıvısı ve iki ayrı kan kültüründe S.agalactiae izole edilen bayan hasta sunulmuştur. İzole edilen susun penisilin için minimum inhibitor konsantrasyon değeri $leqle$ 0.O625 $mu$glml olarak saptanmıştır. İleri yaş grubunda gelişen S.agalactiae menenjitinde mortalite oldukça yüksek oranda bildirilmektedir ve olgumuz da kaybedilmiştir. Dolayısıyla, S.agalactiae altta yatan hastalığı olan yaşlı hastalarda akut menenjit etyolojisinde etken ajan olarak göz önünde bulundurulmalıdır.

Anahtar Kelimeler:

Streptococcus agalactiae, Menenjit, bakteriyel, Erişkin

Streptococcus agalactiae meningitis in an adult patient

Streptococcus agalactiae can cause invasive infections among non-pregnant adults as well. Meningitis due to S.agalactiae among adults is uncommon, and most of the cases have underlying predisposing conditions. Here we report a case of S.agalactiae meningitis in sixty five-years-old female patient with history of chronic renal failure. S.agalactiae was isolated from cerebrospinal fluid and two blood samples. The minimum inhibitory concentrations for penicillin was determined as $leqle$0.0625 $mu$glml. The overall mortality rate is higher in patients with advanced age and our patient died. S. agalactiae should be considered among etiological agents of acute meningitis in patients with underlying conditions and advanced age.

Keywords:

Streptococcus agalactiae, Meningitis, Bacterial, Adult,

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