Medicina Legal de Costa Rica
versão ISSN 1409-0015
VARGAS SANABRIA, Maikel e GUZMAN CERVANTES, Rodolfo. Meningitis aguda por Streptococcus Constellatus: a propósito de un caso fatal. Med. leg. Costa Rica [online]. 2011, vol.28, n.2, pp. 83-87. ISSN 1409-0015.
The present case is of a 14 year-old male with the only history of a sinusitis that solved one year before presentation.The patient developed a newly-onset pansinusitis followed by pyogenic meningitis that lead him to death ten days after. It was not possible to determine the etiologic agent during his hospitalization but postmortem culture tests taken from the leptomeninges and the etmoidal cells showed Streptococcus constellatus, a usual commensal in human mucous membranes. Very few cases of acute meningitis caused by S. constellatus have been described in immunocompetent patients, which makes this case a real diagnostic challenge for clinicians and pathologists.
Palavras-chave : Streptococcus constellatus; acute meningitis; pansinusitis; septic thromboembolism; broncopneumonia.