Streptococcus oralis meningitis in pregnancy

Author:

Mohan Naina1ORCID,O’Connor Lucy2,Douglas Hannah3,Banerjee Anita1ORCID,Nelson-Piercy Catherine1,Klein John L2

Affiliation:

1. Department of Obstetric Medicine, Guy's and St Thomas’ NHS Foundation Trust, London, UK of Great Britain and Northern Ireland

2. Department of Infection, Guy's and St Thomas’ NHS Foundation Trust, London, UK of Great Britain and Northern Ireland

3. Department of Cardiology, Guy's and St Thomas’ NHS Foundation Trust, London, UK of Great Britain and Northern Ireland

Abstract

While pregnancy is a time of relative immunosuppression, infective endocarditis and bacterial meningitis remain rare. We present a case of a pregnant woman with Streptococcus oralis endocarditis and meningitis. This is the first reported case of Streptococcus oralis meningitis in a patient without predisposing risk factors. This case highlights the importance of collecting blood cultures in febrile illness during pregnancy and illustrates that effective management plans can be formulated without performing invasive diagnostic tests such as transesophageal echocardiography.

Publisher

SAGE Publications

Subject

Obstetrics and Gynecology

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