Recurrent Pneumococcal bacteraemia and meningitis in an asplenic adult with possible unusual focus.

Publisher: Informa Healthcare Country of Publication: England NLM ID: 0215333 Publication Model: Print Cited Medium: Print ISSN: 0036-5548 (Print) Linking ISSN: 00365548 NLM ISO Abbreviation: Scand J Infect Dis Subsets: MEDLINE

Publication: 2007-2014 : London : Informa Healthcare
Original Publication: Stockholm, Society for the Publication of Acta medica Scandinavica.

Mandible*; Bacteremia/*diagnosis ; Meningitis, Pneumococcal/*diagnosis ; Osteitis/*diagnosis ; Root Canal Therapy/*adverse effects ; Spleen/*abnormalities; Adult ; Bacteremia/etiology ; Bacteremia/pathology ; Diagnosis, Differential ; Female ; Humans ; Meningitis, Pneumococcal/etiology ; Meningitis, Pneumococcal/pathology ; Osteitis/diagnostic imaging ; Osteitis/etiology ; Osteitis/pathology ; Pneumococcal Infections/diagnosis ; Pneumococcal Infections/etiology ; Pneumococcal Infections/pathology ; Radionuclide Imaging ; Recurrence

An unusual case of a dental infection leading to osteitis of the mandible and possibly to 4 episodes of invasive pneumococcal disease in an asplenic adult is presented. The patient had 2 episodes of pneumococcal meningitis with bacteraemia and 2 episodes of bacteraemia without meningitis during a 1-y period. Investigations using bone and leukocyte scintigraphy revealed only a focal uptake in the right mandibular bone. The pneumococcal strains isolated during the 4 episodes were all serotype 23F, and fully susceptible to penicillin.

Date Created: 20011024 Date Completed: 20020301 Latest Revision: 20190826

20231215

10.1080/00365540110027088

11669231