A 56-Year-Old Woman with Chronic Hepatitis C Liver Disease and Meningitis due to Streptococcus equi subsp. Zooepidemicus Article Swipe
Sebastian Klapa
,
Jochen Grefer
,
Ingo Sobottka
,
Volkhard Kurowski
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1155/2021/7227054
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1155/2021/7227054
Streptococcus equi subsp. zooepidemicus (S. equi subsp. zooepidemicus), which carries the Lancefield group C antigen, is an uncommon human pathogen. It is considered an opportunistic commensal of the equine upper respiratory tract and causes invasive infections in immunocompromised hosts, following close contact to infected horses. Meningitis caused by S. equi subsp. zooepidemicus is a rare infectious disease with high rates of complications. We present the case of a 56-year-old female with acutely altered mental status following three days of fever and vomiting. For several months, she was taking care of horses. The most relevant preexisting illnesses were chronic hepatitis C infection and traumatic paraplegia due to spinal cord injury 30 years ago. Laboratory evaluation on admission revealed leukocytosis, hyponatremia, and elevated C-reactive protein. Cerebral CT scan showed diffuse cerebral edema. Whereas cerebrospinal fluid real-time PCR assay for common pathogens was negative, cultures showed S. equi subsp. zooepidemicus. She recovered fully after intravenous administration of ceftriaxone for four weeks. This is one of only few reported cases of S. equi subsp. zooepidemicus meningitis and the first case in chronic hepatitis C infection. Our case supports the necessity for extended microbiological examination especially in immunocompromised patients if PCR examination for common pathogens is negative.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1155/2021/7227054
- https://downloads.hindawi.com/journals/cricc/2021/7227054.pdf
- OA Status
- gold
- Cited By
- 6
- References
- 9
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3203328422Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1155/2021/7227054Digital Object Identifier
- Title
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A 56-Year-Old Woman with Chronic Hepatitis C Liver Disease and Meningitis due to Streptococcus equi subsp. ZooepidemicusWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-10-01Full publication date if available
- Authors
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Sebastian Klapa, Jochen Grefer, Ingo Sobottka, Volkhard KurowskiList of authors in order
- Landing page
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https://doi.org/10.1155/2021/7227054Publisher landing page
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https://downloads.hindawi.com/journals/cricc/2021/7227054.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://downloads.hindawi.com/journals/cricc/2021/7227054.pdfDirect OA link when available
- Concepts
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Medicine, Streptococcus equi, Meningitis, Immunology, Biology, Surgery, Bacteria, GeneticsTop concepts (fields/topics) attached by OpenAlex
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6Total citation count in OpenAlex
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2024: 1, 2023: 5Per-year citation counts (last 5 years)
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9Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2134627423, https://openalex.org/W2533875666, https://openalex.org/W3025259994, https://openalex.org/W1992852822, https://openalex.org/W3024583174, https://openalex.org/W1977067537, https://openalex.org/W2100990844, https://openalex.org/W2901202509, https://openalex.org/W2065045525 |
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