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Group B Streptococcus Meningitis Following Elective Termination of Pregnancy: Two Case Reports

机译:选择性终止妊娠后B组链球菌性脑膜炎:两例报告

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摘要

Background: Although maternal group B streptococcus (GBS) infections are common, serious infections are rare with prompt diagnosis and treatment. We present 2 cases of GBS meningitis occurring 3 and 10 days after elective abortion. In the first patient, GBS meningitis was definitely related to the elective termination. In the second patient, however, no evidence for a causal relationship could be established and can only be presumed.Case: The patients presented to the emergency department with headache, altered mental status, and fever. Their physical examinations were consistent with meningitis and confirmed by cerebrospinal fluid (CSF) analysis. One patient recovered completely and the other developed severe bilateral hearing loss.Conclusion: GBS meningitis is rare, occurring in men and women. When associated with pregnancy, most cases present within 48–72 h of delivery or abortion.
机译:背景:尽管母体B型链球菌(GBS)感染很常见,但严重的感染很少见,并需要及时诊断和治疗。我们提出2例选择性流产后3天和10天发生的GBS脑膜炎。在第一例患者中,GBS脑膜炎肯定与选择性终止有关。然而,在第二名患者中,没有证据表明存在因果关系,只能推定其原因。病例:患者因头痛,精神状态改变和发烧而转诊至急诊科。他们的体格检查与脑膜炎一致,并通过脑脊液(CSF)分析确认。一名患者完全康复,另一名患者出现严重的双侧听力减退。结论:GBS脑膜炎罕见,男女均可发生。与妊娠相关时,大多数病例在分娩或流产后48-72小时内出现。

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