CRCM  Vol.3 No.7 , July 2014
Spontaneous Streptococcus mitis Meningitis in a Patient with Liver Cirrhosis: A Case Report and Literature Review
Abstract: Streptococcus mitis is a component of the normal oropharynx, skin, gastrointestinal system, and genital tract florae. It is generally considered as a relatively benign bacterium. We present a case of spontaneous Streptococcus mitis meningitis in a patient with liver cirrhosis and no known risk factors for invasive infectious diseases.
Cite this paper: Villion, A. , Lishner, M. , Chowers, M. and Reisfeld, S. (2014) Spontaneous Streptococcus mitis Meningitis in a Patient with Liver Cirrhosis: A Case Report and Literature Review. Case Reports in Clinical Medicine, 3, 398-401. doi: 10.4236/crcm.2014.37088.

[1]   Patterson, M.J. (1996) Streptococcus Pyodenes, Other Streptococci, and Enterococcus. In: Baron, S., Ed., Streptococcus, Medical Microbiology, Chapter 13, 4th Edition, University of Texas Medical Branch at Galveston, Galveston.

[2]   Goldberg, E. and Chopra, S. (2014) Cirrhosis in Adults: Overview of Complications, General Management, and Prognosis. In: Post, T.W., Ed., UpToDate, Waltham.

[3]   Janssen, M. (1996) Alpha-Hemolytic Streptococci: A Major Pathogen of Iatrogenic Meningitis Following Lumbar Puncture. Case Reports and a Review of the Literature. Infection, 24, 29-33.

[4]   Villevieille, T., Vincenti-Rouquette, I., Petitjeans, F., et al. (2000) Streptococcus mitis-Induced Meningitis after Spinal Anesthesia. Anesthesia Analgesia, 90, 500-501.

[5]   Rapeport, K.B., Giron, J.A. and Rosner, F. (1986) Streptococcus mitis Endocarditis: Report of 17 Cases. Archives of Internal Medicine, 146, 2361-2363.

[6]   Sarthy, J. and DiBardino, D. (2013) Pyogenic Liver Abscess Caused by Streptococcus mitis. The Lancet Infectious Diseases, 13, 822.

[7]   Takayanagi, N., Kagiyama, N., Ishiguro, T., Tokunaga, D. and Sugita Y. (2010) Etiology and Outcome of Community-Acquired Lung Abscess. Respiration, 80, 98-105.

[8]   Basil, A., Schoch, P.E. and Cunha, B.A. (2012) Viridans Streptococcal Biosynthetic Aortic Prosthetic Valve Endocarditis (PVE) Complicated by Complete Heart Block and Paravalvular Abscess. Heart & Lung: The Journal of Acute and Critical Care, 41, 610-612.

[9]   Lo, R., Rae, J., Noack, D., Curnutte, J.T. and Avila, P.C. (2005) Recurrent Streptococcal Hepatic Abscesses in a 46-Year-Old Woman. Annals of Allergy, Asthma Immunology, 95, 325-329.

[10]   Marron, A., Carratala, J., Gonzalez-Barca, E., Fernandez-Sevilla, A., Alcaide, F. and Gudiol, F. (2010) Serious Complications of Bacteremia Caused by Viridans Streptococci in Neutropenic Patients with Cancer. Clinical Infectious Diseases, 31, 1126-1130.

[11]   Ahmed, R., Hassall, T., Morland, B. and Gray, J. (2003) Viridans Streptococcus Bacteremia in Children on Chemotherapy for Cancer: An Underestimated Problem. Journal of Pediatric Hematology/Oncology, 20, 439-444.

[12]   Kutlu, S.S., Sacar, S., Cevahir, N. and Turgut, H. (2008) Community-Acquired Streptococcus mitis Meningitis: A Case Report. International Journal of Infectious Diseases, 12, 107-109.

[13]   Baddour, L.M., Wilson, W.R., Bayer, A.S., Fowler Jr., V.G., Bolger, A.F., Levison, M.E., Ferrieri, P., Gerber, M.A., Tani, L.Y., Gewitz, M.H., Tong, D.C., Steckelberg, J.M., Baltimore, R.S., Shulman, S.T., Burns, J.C., Falace, D.A., Newburger, J.W., Pallasch, T.J., Takahashi, M. and Taubert, K.A. (2005) Infective Endocarditis: Diagnosis, Antimicrobial Therapy, and Management of Complications; A Statement for Healthcare Professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association. Circulation, 111, e394-e433.

[14]   Tandon, P. and Garcia-Tsao, G. (2008) Bacterial Infections, Sepsis, and Multiorgan Failure in Cirrhosis. Seminars in Liver Disease, 28, 26-42.